Jason Ray Surratt, DPM | |
9900 Sw Hall Blvd, Suite 100, Tigard, OR 97223 | |
(503) 245-2420 | |
(503) 245-2445 |
Full Name | Jason Ray Surratt |
---|---|
Gender | Male |
Speciality | Podiatry |
Experience | 26 Years |
Location | 9900 Sw Hall Blvd, Tigard, Oregon |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649386541 | NPI | - | NPPES |
228891 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | DP00330 (Oregon) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Providence St Vincent Medical Center | Portland, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northwest Extremity Specialists Llc | 3577881747 | 22 |
Provider Name | Northwest Extremity Specialists Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1295126241 PECOS PAC ID: 3577881747 Enrollment ID: O20150420000860 |
Mailing Address | Practice Location Address |
---|---|
Jason Ray Surratt, DPM 9900 Sw Hall Blvd, Suite 100, Tigard, OR 97223 Ph: (503) 245-2420 | Jason Ray Surratt, DPM 9900 Sw Hall Blvd, Suite 100, Tigard, OR 97223 Ph: (503) 245-2420 |
Mr. Stephen M Schroeder, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 7300 Sw Childs Rd, #b, Tigard, OR 97224 Phone: 503-692-8700 Fax: 503-692-8710 | |
Larry D Jensen Dpm Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 11815 Sw King James Pl, Suite 60, Tigard, OR 97224 Phone: 503-639-8107 Fax: 503-639-8108 | |
Yama Ahmad Dehqanzada, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 9900 Sw Hall Blvd, Suite 100, Tigard, OR 97223 Phone: 503-245-2420 Fax: 503-245-2445 | |
Ejiro C Isiorho, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 11515 Sw Durham Road, E1, Tigard, OR 97224 Phone: 503-624-0364 Fax: 503-684-3306 | |
Westside Podiatry Clinic Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 9900 Sw Hall Blvd, Suit 100, Tigard, OR 97223 Phone: 503-245-2420 Fax: 503-245-2445 | |
Paul Logan Williams, Podiatrist Medicare: Medicare Enrolled Practice Location: 11815 Sw King James Pl Ste 60, Tigard, OR 97224 Phone: 503-639-8107 | |
Todd Galle, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 9900 Sw Hall Bvld, Suite 100, Tigard, OR 97223 Phone: 503-245-2420 Fax: 503-245-2445 |