| Roseburg Foot & Ankle Specialists, P.c. | |
|
2300 Nw Stewart Pkwy, Roseburg, OR 97471 | |
| (541) 673-7322 | |
| (541) 673-3615 |
| Full Name | Roseburg Foot & Ankle Specialists, P.c. |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 2300 Nw Stewart Pkwy, Roseburg, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851622153 | NPI | - | NPPES |
| 0586980-00 | Other | REGENCE BLUE CROSS | |
| 273 | Other | OR | OREGON LICENSE NUMBER |
| 500635904 | Medicaid | OR | |
| 4307932-00 | Other | REGENCE MEDADVANTAGE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 273 (Oregon) | Primary |
| Provider Name | Kash K Siepert |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1689677031 PECOS PAC ID: 6002989555 Enrollment ID: I20080717000208 |
| Provider Name | Cordell B Smith |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1437333945 PECOS PAC ID: 3577696624 Enrollment ID: I20100727000393 |
| Provider Name | Nathaniel D Keplinger |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1720491046 PECOS PAC ID: 7214151919 Enrollment ID: I20170719001399 |
| Provider Name | Daniel E Howell |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1972025450 PECOS PAC ID: 4981003357 Enrollment ID: I20210604002314 |
| Mailing Address | Practice Location Address |
|---|---|
| Roseburg Foot & Ankle Specialists, P.c. 2300 Nw Stewart Pkwy, Roseburg, OR 97471-1597 Ph: (541) 673-7322 | Roseburg Foot & Ankle Specialists, P.c. 2300 Nw Stewart Pkwy, Roseburg, OR 97471 Ph: (541) 673-7322 |
Micah D Tovey, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2460 Nw Stewart Pkwy Ste 100, Roseburg, OR 97471 Phone: 541-229-2663 Fax: 541-229-0213 | |
G Jason Wilks, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1813 W Harvard Ave Ste 201, Roseburg, OR 97471 Phone: 541-673-0742 Fax: 541-673-7553 | |
Dr. Brandon Wallace Bishop, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2460 Nw Stewart Pkwy, Ste. 100, Roseburg, OR 97471 Phone: 541-229-2663 Fax: 541-229-0213 | |
Dr. Cordell Becker Smith, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2300 Nw Stewart Pkwy, Roseburg, OR 97471 Phone: 541-673-7322 Fax: 541-673-3615 | |
Wilks Advanced Foot Care Podiatrist Medicare: Medicare Enrolled Practice Location: 2564 Nw Edenbower Blvd, Ste 142, Roseburg, OR 97471 Phone: 541-673-0742 Fax: 541-673-7553 | |
Kash K. Siepert, D.P.M. Podiatrist Medicare: Medicare Enrolled Practice Location: 2300 Nw Stewart Pkwy, Roseburg, OR 97471 Phone: 541-673-7322 Fax: 541-673-3615 | |
Dr. Fadi Elias Malak, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 913 Nw Garden Valley Blvd, Roseburg, OR 97470 Phone: 541-440-1000 Fax: 541-440-1343 |