DR. RICHARD PEFFLEY D.P.M. NPI 1386641231

NPI Information

NPI: 1386641231
Provider Name: DR. RICHARD PEFFLEY, D.P.M.
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

Address:
350 MILLER ST SE
SALEM, OR
ZIP 97302
Phone: (503) 370-8784
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DR. Richard Peffley, D.P.M. is a foot and ankle surgery podiatrist in Salem, OR. DR. Richard Peffley, D.P.M. NPI is 1386641231. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

350 MILLER ST SE
SALEM, OR
ZIP 97302-248
Phone: (503) 370-8784
Fax: (503) 362-4017

The enumeration date for this NPI number is 7/7/2005 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	DP00219	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	V242001	OTHER	OREGON	PACIFIC SOURCE PIN
2	480018560	OTHER	OREGON	PALMENTO GBA
3	953534163	OTHER	OREGON	ODS PIN
4	0001	OTHER	OREGON	WPS TRICARE CLAIMS PIN
5	305976	OTHER	OREGON	PROVIDENCE HEALTH PIN
6	9535341630000E	OTHER	OREGON	MAILHANDLERS PIN
7	DP4Z290	OTHER	OREGON	HEALTH NET PIN
8	9535341630000	OTHER	OREGON	TRICARE NORTHWEST PIN
9	T11014	MEDICARE UPIN	OREGON
10	480018560	OTHER	OREGON	RAILROAD RETIREMENT PIN
11	065941	MEDICAID	OREGON
12	054437000	OTHER	OREGON	REGENCE BLUECROSS BLUESHI
13	953534163002	OTHER	OREGON	UHC PIN
14	1148590001	OTHER	OREGON	DMERC PIN
15	R0000SGBLW	MEDICARE PIN	OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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