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DR. KEVIN DENNIS DRISCOLL DPM NPI 1699272724


NPI Information

NPI: 1699272724
Provider Name: DR. KEVIN DENNIS DRISCOLL, DPM
Classification: Orthopaedic Surgery - 207XX0004X
Entity Type: Individual

Specialization: Foot and Ankle Surgery

PECOS Registration: Yes

Address:
6108 NE GLISAN ST
PORTLAND, OR
ZIP 97213
Phone: (503) 255-8100
Get Directions

DR. Kevin Dennis Driscoll, DPM is a foot and ankle surgery orthopaedic surgery in Portland, OR with 6 years of experience. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery. DR. Kevin Dennis Driscoll, DPM NPI is 1699272724. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduation Year:2018

The provider's business location address is:

6108 NE GLISAN ST
PORTLAND, OR
ZIP 97213-864
Phone: (503) 255-8100
Fax: (503) 255-2728

The NPI 1699272724 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 4/5/2018 and was last updated on 9/30/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207XX0004XOrthopaedic SurgeryFoot and Ankle Surgery000000PENNSYLVANIANo
2207XX0004XOrthopaedic SurgeryFoot and Ankle SurgerySC006916PENNSYLVANIANo
3213ES0103XPodiatristFoot & Ankle SurgeryDP202065OREGONNo
4213ES0103XPodiatristFoot & Ankle SurgerySC006916PENNSYLVANIANo
5213ES0131XPodiatristFoot SurgeryDP202065OREGONNo
6207XX0004XOrthopaedic SurgeryFoot and Ankle SurgeryDP202065OREGONYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.