TRI- CITY PODIATRIC PHYSICIANS & SURGEONS LTD NPI 1821129792

NPI Information

  • NPI: 1821129792
  • Provider Name: TRI- CITY PODIATRIC PHYSICIANS & SURGEONS LTD
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Organization
  • Address: 1450 POLARIS LN SW
    BANDON, OR
    ZIP 97411
  • Phone: (541) 347-8283

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NPI Details

TRI- CITY PODIATRIC PHYSICIANS & SURGEONS LTD is a podiatrist in Bandon, OR. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. TRI- CITY PODIATRIC PHYSICIANS & SURGEONS LTD NPI is 1821129792. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1450 POLARIS LN SW
BANDON, OR
ZIP 97411-816
Phone: (541) 347-8283
Fax: (541) 347-3632

The provider's authorized official is Andi Dimaggio .
The authorized official title is Office Manager and has the following contact phone number (541) 347-8283.

The enumeration date for this NPI number is 3/9/2007 and was last updated on 5/15/2008.

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
1213E00000XPodiatristYes

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
1R140862MEDICARE PINOREGON
2480014636OTHEROREGONRAILROAD MEDICARE
30979430002MEDICARE NSCOREGON

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: 11/21/2025

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