Derek J Mccammon in Gresham - Foot & Ankle Surgery
Derek J Mccammon - NPI 1760463889
Derek J Mccammon is a Foot & Ankle Surgery in Gresham, Oregon. Derek J Mccammon practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for Derek J Mccammon is 1760463889. The last update date is 2018-01-26.
Derek J Mccammon's current location address is 24076 Se Stark St Ste 110, Gresham, Oregon. You can contact this provider via phone number 5036615388 and fax number 5036669393. The mailing address for Derek J Mccammon is 24076 Se Stark St Ste 110, Gresham, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Derek J Mccammon |
|---|---|
| Address | 24076 Se Stark St Ste 110, Gresham, Oregon |
| Phone Number | 5036615388 |
| Fax Number | 5036669393 |
| Sole Proprietor | N |
| Credentials | D.P.M. |
NPI Number Detail
| NPI Number | 1760463889 |
|---|---|
| Provider Enumeration Date | 2005-11-07 |
| Last Updated Date | 2018-01-26 |
Provider Mailing Address Detail
| Address | 24076 Se Stark St Ste 110 |
|---|---|
| City | Gresham |
| State | Oregon (OR) |
| Post Code | 970303374 |
| Phone Number | 5036615388 |
| Fax Number | 5036669393 |
Provider's Primary Taxonomy Detail
| Speciality | Foot & Ankle Surgery |
|---|---|
| Taxonomy | 213Es0103X |
| Licence No | DP00307 |
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Definition: A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 235116 | OR | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Derek J Mccammon by the Centers for Medicare & Medicaid Services?
The Derek J Mccammon has been issued the NPI (National Provider Identifier) 1760463889, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Derek J Mccammon's physical address?
The Derek J Mccammon is physically located at 24076 Se Stark St Ste 110, in the city of Gresham, OR, with the postal code 970303374.
What is Derek J Mccammon's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Derek J Mccammon is Foot & Ankle Surgery, and the taxonomy classification code that categorizes this area of expertise is 213Es0103X.
On what date did the Derek J Mccammon receive its 1760463889 assignment from the Centers for Medicare & Medicaid Services?
The Derek J Mccammon was assigned its 1760463889 by the Centers for Medicare & Medicaid Services on 2005-11-07.
As of what date were the details related to Derek J Mccammon most recently updated or revised?
The information pertaining to Derek J Mccammon, including its address, specialty, and other relevant details, was last updated or revised on 2018-01-26.