JOHN D MOZENA DPM NPI 1861673980

NPI Information

NPI: 1861673980
Provider Name: JOHN D MOZENA, DPM
Classification: Podiatrist - 213ES0131X
Entity Type: Individual

Specialization: Foot Surgery

PECOS Registration: Yes

Address:
8305 SE MONTEREY
STE 101
PORTLAND, OR
ZIP 97266
Phone: (503) 652-1121
Get Directions

John D Mozena, DPM is a foot surgery podiatrist in Portland, OR. John D Mozena, DPM NPI is 1861673980. 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:

8305 SE MONTEREY
STE 101
PORTLAND, OR
ZIP 97266-728
Phone: (503) 652-1121
Fax: (503) 652-2193

The NPI 1861673980 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 11/16/2007 and was last updated on 7/3/2008.

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	213EP1101X	Podiatrist	Primary Podiatric Medicine	158	OREGON	No
2	213ES0000X	Podiatrist	Sports Medicine	158	OREGON	No
3	213ES0131X	Podiatrist	Foot Surgery	158	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
1	480003893	MEDICARE PIN	OREGON
2	T67937	MEDICARE UPIN	OREGON
3	146910	MEDICAID	OREGON
4	R116773	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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