Tajyant N Chotechuang NORTHWEST FOOTCARE LLC

Address: 1510 Sw Nancy Way, Bend, OR 97702-3256
Phone: 5413857129

Tajyant N Chotechuang (NPI# 1396757431, PAC ID# 6103818026) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.

Physician Overview

Nation Provider ID (NPI) 1396757431
PAC ID by PECOS 6103818026
Professional Enrollment ID I20060105000039
Full Name Tajyant N Chotechuang
Organization Legal Name NORTHWEST FOOTCARE LLC
Address 1510 Sw Nancy Way
Bend
OR 97702-3256
Phone Number 5413857129
Gender M
Credential DPM
Medical School UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Graduation Year 1998
Primary Specialty PODIATRY
Group Practice PAC ID 7113968256
Number of Group Practice Members 3
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
1510 Sw Nancy Way, Bend, OR 97702-3256 5413857129 NORTHWEST FOOTCARE LLC
1510 Sw Nancy Way, Suite 2, Bend, OR 97702-3256 5413857129 NORTHWEST FOOTCARE LLC

Organization Information

Organization Legal Name NORTHWEST FOOTCARE LLC
Physicians 3

Physicians with the same location

Name Specialty Organization Address
Frank R Cobarrubia PODIATRY NORTHWEST FOOTCARE LLC 1510 Sw Nancy Way, Bend
Bryan D Wilhelm PODIATRY NORTHWEST FOOTCARE LLC 1510 Sw Nancy Way Suite 2, Bend

Office Location

Street Address 1510 SW NANCY WAY
City BEND
State OR
Zip 97702-3256

Physicians with the same location

Name Specialty Organization Address
Dawn S Allison DERMATOLOGY DAWN S ALLISON MD PC 1510 Sw Nancy Way, Bend
Bryan D Wilhelm PODIATRY NORTHWEST FOOTCARE LLC 1510 Sw Nancy Way Suite 2, Bend
Frank R Cobarrubia PODIATRY NORTHWEST FOOTCARE LLC 1510 Sw Nancy Way, Bend

Competitor

Search similar physicians

City BEND
Zip Code 97702
Specialty PODIATRY
City + Specialty BEND + PODIATRY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.