JOHN D MOZENA (NPI# 1861673980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861673980 |
| Entity Type | Individual |
| Full Name | JOHN D MOZENA |
| Credential | DPM |
| Practice Address |
8305 Se Monterey Ste 101 Portland OR 97266-7728 |
| Practice Telephone | 5036521121 |
| Practice Fax Number | 5036522193 |
| Mailing Telephone | 5036521121 |
| Mailing Fax Number | 5036522193 |
| Enumeration Date | 2007-11-16 |
| Last Update Date | 2008-07-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
158 | OR | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0000X |
Podiatrist Specialization: Sports Medicine |
158 | OR | Podiatric Medicine & Surgery Service Providers |
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
158 | OR | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 146910 | 05 |
| Street Address |
8305 SE MONTEREY STE 101 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97266-7728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548223258 | Lynn Knope | Psychologist | 8305 Se Monterey, #219, Portland, OR 97266-7161 | 2006-04-11 |
| 1821017864 | Diane L Berry | Social Worker | 8305 Se Monterey, #220, Portland, OR 97266 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528545969 | Willamette Pharmacy | Pharmacy | 10209 Se Division Build B Ste 100, Portland, OR 97266 | 2018-07-27 |
| 1992204697 | Sober Living Oregon Treatment Center | Clinic/Center | 10209 Se Division, Portland, OR 97266 | 2018-02-08 |
| 1699204024 | Malori Christine Butler | Registered Nurse | 7335 Se 85th Ave., Portland, OR 97266 | 2017-06-08 |
| 1487028882 | Emil Kunkel | Naturopath | 6318 Se 87th Ave, Portland, OR 97266 | 2015-11-23 |
| 1194195313 | Cory Hall-martin | Counselor | 10011 Se Division St #305, Portland, OR 97266 | 2015-09-30 |
| 1336517721 | Krispin Mayfield | Counselor | 10011 Se Division St., Suite 203, Portland, OR 97266 | 2015-09-02 |
| 1407247927 | Syrena Nicholson | Community Health Worker | 7721 Se 92nd Avenue, Apt K, Portland, OR 97266 | 2015-02-06 |
| 1659777886 | Berhanu Aynalem Mekbib | Adult Companion | 9125 Sw 55th, El Dorado, Portland, OR 97266 | 2014-11-17 |
| 1871930685 | Felicitas Amelia Penaloza | Behavioral Analyst | 9911 Se Mt.scott Boulevard, Portland, OR 97266 | 2013-06-03 |
| 1710237326 | Janna Renee Higgins | Case Manager/Care Coordinator | 9911 Se Mt. Scott Boulevard, Portland, OR 97266 | 2012-09-12 |
| Find all providers in zip 97266 | ||||
| Taxonomy Code | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992942064 | Lester Tengsico LLC | Podiatrist | 10424 Se Cherry Blossom Dr Ste F, Portland, OR 97216-2825 | 2009-01-12 |
| 1811006596 | Joshua P Mitnick | Podiatrist | 8305 Se Monterey Ave., #101, Portland, OR 97266 | 2006-08-29 |
| 1760434674 | David C Greenberg | Podiatrist | 948 Ne 102nd Ave, Suite 103, Portland, OR 97220-4064 | 2006-05-17 |
| 1134102320 | Steven Gary Tillett | Podiatrist | 6274 Sw Capitol Hwy, Portland, OR 97239-2674 | 2005-11-22 |
| 1063595817 | Richard Steinmetz | Podiatrist | 980 Forest Ave, Ste 102, Portland, ME 04103-3357 | 2006-10-23 |
| 1780650408 | Robert S Juris | Podiatrist | 68 Marginal Way, 4th Fllor, Portland, ME 04101-2444 | 2006-02-23 |
| 1881669836 | Danforth S Desena | Podiatrist | 68 Marginal Way, 4th Floor, Portland, ME 04101-2444 | 2006-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083991400 | Larry D Jensen Dpm PC | Podiatrist | 11815 Sw King James Pl, Suite 60, Tigard, OR 97224-2478 | 2011-11-14 |
| 1346347432 | Brian Douglas Ashdown | Podiatrist | 2605 Willetta St Sw Ste D2, Albany, OR 97321-3451 | 2006-09-20 |
| 1356452247 | Stephen Fekete | Podiatrist | 29756 Sw Town Center Loop W Ste H, Wilsonville, OR 97070-6482 | 2006-08-31 |
| 1851383269 | Larry Dean Jensen | Podiatrist | 11815 Sw King James Place, Suite 60, Tigard, OR 97224 | 2005-08-22 |
| 1790295228 | Clarke Podiatry, LLC | Podiatrist | 113 S Main St, Milton Freewater, OR 97862-1342 | 2017-10-11 |
| 1518146984 | Patricia Eileen Cain | Podiatrist | 1510 Division St, Suite 80, Oregon City, OR 97045-1581 | 2007-11-01 |
| 1891980546 | Southern Oregon Foot & Ankle, LLC | Podiatrist | 1904 E Barnett Rd, Medford, OR 97504-8262 | 2007-09-06 |
| 1740335728 | Darrin Lee Dallegge | Podiatrist | 330 S Garden Way, Suite 350, Eugene, OR 97401-8176 | 2007-01-23 |
| 1639260318 | Joseph David Neary | Podiatrist | 10100 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2006-09-27 |
| 1295849206 | Michael Jackson Matthews | Podiatrist | 5125 Skyline Rd S, Salem, OR 97306-9427 | 2006-08-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.