MEDICARE: DR. AMANDA WESTFALL MCCARTY DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	DP00439	OR
2	213ES0103X	Foot & Ankle Surgery Podiatrist	DP00439	OR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	820226002	OTHER	OR	BCBSO

General Provider Information

NPI Number	:	1063630929
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMANDA WESTFALL MCCARTY DPM

Provider Business Mailing Address
First Line	:	1693 SW CHANDLER AVE
Second Line	:	SUITE 280
City	:	BEND
State	:	OR
Zip	:	97702-3231
Country	:	US
Telephone Number	:	541-385-7129
Fax Number	:	541-385-7138

Provider Business Practice Location Address
First Line	:	1693 SW CHANDLER AVE
Second Line	:	SUITE 280
City	:	BEND
State	:	OR
Zip	:	97702-3231
Country	:	US
Telephone Number	:	541-385-7129
Fax Number	:	541-385-7138

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/23/2007
Last Update Date	:	02/23/2024

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