PADHMA VENKITAPATHY (NPI# 1003202870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003202870 |
| Entity Type | Individual |
| Full Name | PADHMA VENKITAPATHY |
| Practice Address |
10555 Se Carr Rd Renton WA 98055 |
| Mailing Address |
3600 Lind Ave Sw Suite 100 Attn Credentialing Renton WA 98057-4970 |
| Practice Telephone | 4256903510 |
| Practice Fax Number | 4256909510 |
| Mailing Telephone | 4256902715 |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2019-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
PO60841435 | WA | Podiatric Medicine & Surgery Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10555 Se Carr Rd, Renton, WA 98055 | 4256903510 | 4256909510 |
| 17 E 102nd St # 7th, Floor Number 1087, New York, NY 100295204 | 2126598551 |
| Street Address |
10555 SE CARR RD |
| City | RENTON |
| State | WA |
| Zip Code | 98055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417939331 | James Robert Fackelman | Internal Medicine | 10555 Se Carr Rd, Renton, WA 98055-5820 | 2005-11-16 |
| 1679018063 | Lindsey Paige O'donnell | Physician Assistant | 10555 Se Carr Rd, Bldg M, Renton, WA 98055-5820 | 2016-12-21 |
| 1184989451 | Nick Nghia Dang | Podiatrist | 10555 Se Carr Rd, Bldg M, Renton, WA 98055-5820 | 2012-07-11 |
| 1760620132 | Public Hospital District#1 of King County | Family Medicine | 10555 Se Carr Rd, Ste M, Renton, WA 98055-5820 | 2009-01-23 |
| 1821245333 | Michael Stiranka | Physician Assistant | 10555 Se Carr Rd, Bldg M, Renton, WA 98055-5820 | 2008-08-27 |
| 1629245865 | Public Hospital District #1 of King County | Family Medicine | 10555 Se Carr Rd, Ste M, Renton, WA 98055-5820 | 2008-05-15 |
| 1346258936 | Negar Ayoubzadeh-bartos | Physician Assistant | 10555 Se Carr Rd, Bldg M, Renton, WA 98055-5820 | 2006-08-03 |
| 1528087285 | Kennard D Mcnichols | Family Medicine | 10555 Se Carr Rd, Renton, WA 98055-5820 | 2006-07-19 |
| 1285607606 | Reza Roy Berjis | Family Medicine | 10555 Se Carr Rd, Renton, WA 98055-5820 | 2006-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356965750 | Proliance Surgery Center At Valley, LLC | Clinic/Center | 4009 Talbot Road S, Suite 200, Renton, WA 98055 | 2020-06-01 |
| 1851804959 | Talbot Rehabilitation Center, LLC | Skilled Nursing Facility | 4430 Talbot Road South, Renton, WA 98055 | 2017-11-10 |
| 1154878668 | Nelson Family Dentistry | Dentist | 19221 108th Ave Se Suite #2, Renton, WA 98055 | 2016-09-01 |
| 1598182990 | Annie Kyunga Ahn | Otolaryngology | 4033 Talbot Rd S Ste 540, Renton, WA 98055 | 2014-03-24 |
| 1376960138 | Madhuri Gordhan Patel | Registered Nurse | 3501 Mill Place South, Renton, WA 98055 | 2014-03-18 |
| 1912331042 | Karen Dohr | Pharmacist | 400 S. 43 Street, Renton, WA 98055 | 2013-08-26 |
| 1659637668 | Benjamin Reiss | Ophthalmology | 4300 Talbot Rd S Ste 300, Renton, WA 98055 | 2012-04-03 |
| 1205137940 | Duy Ai Quang Hoang | Pharmacist | 9431 S 196th Pl, Renton, WA 98055 | 2010-11-11 |
| 1972823664 | Erica L Ellzey | Physical Therapist | 18623 112th Ave Se, Renton, WA 98055 | 2010-06-04 |
| 1588984587 | Melissa A. Jordan | Nurse Anesthetist, Certified Registered | 4011 Talbot Rd., 5th Floor, Renton, WA 98055 | 2010-06-02 |
| Find all providers in zip 98055 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316249907 | Associated Valley Providers Pllc | Podiatrist | 4361 Talbot Rd S Ste 112, Renton, WA 98055-6226 | 2010-12-02 |
| 1568085454 | Jacqueline R. Buckley, LLC | Podiatrist | 1412 Sw 43rd St, Renton, WA 98057-4803 | 2020-05-26 |
| 1558783639 | Scott Carlis | Podiatrist | 433 Sw 41st St, Renton, WA 98057-4926 | 2014-01-09 |
| 1184989451 | Nick Nghia Dang | Podiatrist | 10555 Se Carr Rd, Bldg M, Renton, WA 98055-5820 | 2012-07-11 |
| 1154685600 | Christopher Alan Robertson | Podiatrist | 433 Sw 41st St, Renton, WA 98057-4926 | 2012-06-29 |
| 1063584498 | Deborah Jean Ketterer | Podiatrist | 4361 Talbot Rd S, Suite 101, Renton, WA 98055-6226 | 2006-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598392599 | Northern Cascades Foot and Ankle, LLC | Podiatrist | 532 E. Woodin Ave, Chelan, WA 98816-1852 | 2020-03-27 |
| 1801433784 | South Hill Foot & Ankle Clinic Ps | Podiatrist | 3707 S Grand Blvd Ste A, Spokane, WA 99203-2762 | 2019-12-10 |
| 1679025902 | Fasa Family Wellness, Pllc | Podiatrist | 2964 Limited Ln Nw, Suite B, Olympia, WA 98502-4577 | 2016-11-03 |
| 1356899363 | Emily Wagler | Podiatrist | 34509 9th Ave S Ste 303, Federal Way, WA 98003-8709 | 2016-09-19 |
| 1821546540 | Ata Podiatric and Integrative Medicine, Pllc | Podiatrist | 1950 Alaskan Way, Apt 526, Seattle, WA 98101-1075 | 2016-09-12 |
| 1376998179 | Hyowon Choi | Podiatrist | 2075 Barkley Blvd Ste 220, Bellingham, WA 98226 | 2016-04-28 |
| 1407210479 | Philip Matthew Woods | Podiatrist | 1812 N 13th Loop Rd # 1, Shelton, WA 98584-2169 | 2016-04-06 |
| 1063897916 | Yan Rong Cullen | Podiatrist | 13030 121st Way Ne Ste 204, Kirkland, WA 98034-3008 | 2015-07-21 |
| 1972982023 | Brittany Lynn Logan | Podiatrist | 10049 Kitsap Mall Blvd Nw Ste 109, Silverdale, WA 98383-8901 | 2015-05-21 |
| 1093194425 | Silas Klaver | Podiatrist | 1607 Creekside Loop Ste 140, Yakima, WA 98902 | 2015-05-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.