ANKLE & FOOT SPECIALISTS OF PUGET SOUND, PS (NPI# 1164720462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164720462 |
Entity Type | Organization |
Organization Name | ANKLE & FOOT SPECIALISTS OF PUGET SOUND, PS |
Other Organization Name | ENUMCLAW FOOT & ANKLE CLINIC |
Practice Address |
2820 Griffin Ave Suite 101 Enumclaw WA 98022-2373 |
Mailing Address |
2728 E Main Ave Suite A Puyallup WA 98372-3198 |
Practice Telephone | 3608252181 |
Practice Fax Number | 3608258354 |
Mailing Telephone | 2538412006 |
Mailing Fax Number | 2538406691 |
Enumeration Date | 2011-03-10 |
Last Update Date | 2012-07-24 |
Authorized Official Name | CHARLES R CHU (OWNER) |
Authorized Official Telephone | 4254492471 |
Authorized Official Credential | DPM |
Is Organization Subpart | Y |
Parent Organization Name | ANKLE & FOOT SPECIALISTS OF PUGET SOUND, PS |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
Podiatric Medicine & Surgery Service Providers | ||
N | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
Podiatric Medicine & Surgery Service Providers | ||
Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
Other Name | Type Code |
---|---|
Enumclaw Foot & Ankle Clinic | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013313949 | Ankle & Foot Specialists of Puget Sound, Ps | Podiatrist | 17700 Se 272nd St Ste 370, Covington, WA 98042-4951 | 2014-11-04 |
1568753499 | Ankle & Foot Specialists of Puget Sound, Ps | Podiatrist | 751 Ne Blakely Dr Fl 4, Issaquah, WA 98029-6201 | 2011-04-26 |
1023416286 | Ankle & Foot Specialists of Puget Sound, Ps | Podiatrist | 2820 Griffin Ave Ste 101, Enumclaw, WA 98022-2373 | 2014-12-19 |
1902167471 | Ankle & Foot Specialists of Puget Sound, Ps | Podiatrist | 18100 Ne Union Hill Rd, Suite 200, Redmond, WA 98052-3330 | 2012-05-31 |
1649561168 | Ankle & Foot Specialists of Puget Sound, Ps | Podiatrist | 3908 10th St Se, Puyallup, WA 98374-2188 | 2011-05-02 |
1760781827 | Ankle & Foot Specialists of Puget Sound, Ps | Podiatrist | 2728 E Main Ave, Suite A, Puyallup, WA 98372-3198 | 2011-03-15 |
1346548658 | Ankle & Foot Specialists of Puget Sound, Ps | Podiatrist | 4140 Factoria Blvd Se, Suite 1b, Bellevue, WA 98006-5261 | 2011-03-10 |
1437457744 | Ankle & Foot Specialists of Puget Sound, Ps | Podiatrist | 2728 E Main Ave, Suite A, Puyallup, WA 98372-3198 | 2011-03-10 |
1558668582 | Ankle & Foot Specialists of Puget Sound, Ps | Podiatrist | 2728 E Main Ave, Suite A, Puyallup, WA 98372-3198 | 2011-02-28 |
Street Address |
2820 GRIFFIN AVE SUITE 101 |
City | ENUMCLAW |
State | WA |
Zip Code | 98022-2373 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932156015 | Susan D. Louie | Occupational Therapist | 2820 Griffin Ave, Suite 110, Enumclaw, WA 98022-2373 | 2006-05-27 |
1235483579 | Franciscan Medical Group | Orthopaedic Surgery | 2820 Griffin Ave, #210, Enumclaw, WA 98022-2373 | 2012-11-08 |
1235443334 | Foothills Internal Medicine Pllc | Clinic/Center | 2820 Griffin Ave, Suite 204, Enumclaw, WA 98022-2373 | 2010-07-30 |
1710214473 | Kari Schamel | Massage Therapist | 2820 Griffin Ave, Suite 204, Enumclaw, WA 98022-2373 | 2009-11-17 |
1770766271 | Puget Sound Specialty Physicians Pllc | Podiatrist | 2820 Griffin Ave, Suite 101, Enumclaw, WA 98022-2373 | 2007-12-07 |
1992901151 | Puget Sound Specialty Physicians, Pllc | Specialist | 2820 Griffin Ave, Suite 100, Enumclaw, WA 98022-2373 | 2007-06-25 |
1265574909 | Rebekah Ruth Scribner | Pharmacist | 2820 Griffin Ave, #102, Enumclaw, WA 98022-2373 | 2007-02-12 |
1649368341 | Surgery Center Enumclaw | Clinic/Center | 2820 Griffin Ave, Suite 100, Enumclaw, WA 98022-2373 | 2006-10-10 |
1649285198 | Jane M Houtz | Internal Medicine | 2820 Griffin Ave, Suite 204, Enumclaw, WA 98022-2373 | 2006-07-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558993725 | Megan's Massage and Esthetics LLC | Massage Therapist | 709 Griffin Ave, Enumclaw, WA 98022 | 2020-02-06 |
1154883494 | Nicola Given | Registered Nurse | 1818 Cole Street, Enumclaw, WA 98022 | 2019-04-04 |
1770099988 | Christopher P Koontz, Dds, Ps | Dentist | 2617 Griffin Ave, Enumclaw, WA 98022 | 2017-12-26 |
1487050977 | Hunter Chlebowski | Massage Therapist | 1453 Chinook Ave., Enumclaw, WA 98022 | 2014-11-10 |
1194156257 | James Kraft Symonds | Family Medicine | 1605 Washington Ave, Enumclaw, WA 98022 | 2013-11-27 |
1508209420 | Terri Lynn Kilbourne | Specialist | 1710 Railroad Street, Enumclaw Day Spa, Enumclaw, WA 98022 | 2013-04-10 |
1679824783 | Cortney Lauren Adams | Massage Therapist | 1156 Griffin Ave, Suite 209, Enumclaw, WA 98022 | 2012-09-28 |
1477828226 | Chella Bear Plastiras | Speech-Language Pathologist | 275 Peterson Drive East, Enumclaw, WA 98022 | 2012-03-13 |
1003186693 | Travis David Burt | Specialist | 1838 Porter St, Enumclaw, WA 98022 | 2012-01-12 |
1740590884 | Justin Andrew Bergstrom | Chiropractor | 2627 Griffin Ave., Enumclaw, WA 98022 | 2010-10-07 |
Find all providers in zip 98022 |
Taxonomy Code | 213E00000X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811125032 | Christopher D Bock | Podiatrist | 853 Watson St N Ste 100, Enumclaw, WA 98022-9348 | 2009-06-25 |
1922665512 | Rainier Foot and Ankle Associates | Podiatrist | 853 Watson St N Ste 100, Enumclaw, WA 98022-3948 | 2019-05-20 |
1780179242 | Rainier Foot and Ankle Associates,pllc | Podiatrist | 853 Watson St N Ste 100, Enumclaw, WA 98022 | 2018-06-27 |
1023416286 | Ankle & Foot Specialists of Puget Sound, Ps | Podiatrist | 2820 Griffin Ave Ste 101, Enumclaw, WA 98022-2373 | 2014-12-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003449430 | Seniorwell Pod of Washington LLC | Podiatrist | 506 Secord Avenue, Suite 1400, Seattle, WA 98104-2329 | 2020-02-13 |
1790337194 | Nw Foot and Ankle Specialists, LLC | Podiatrist | 12900 Ne 180th St, Ste 150, Bothell, WA 98011 | 2019-07-15 |
1174091193 | Fasa Family Wellness Pllc | Podiatrist | 5210 Corporate Center Ct Se Ste A, Lacey, WA 98503-5952 | 2018-11-07 |
1407227424 | Jeremy Cross | Podiatrist | 9399 Ridgetop Blvd Nw Ste A, Silverdale, WA 98383-8505 | 2015-10-16 |
1326427584 | Mallory Schweitzer | Podiatrist | 11212 Sunrise Blvd E Ste 203, Puyallup, WA 98374-8847 | 2015-05-21 |
1740688902 | Oot Specialists of Puget Sound, Ps | Podiatrist | 2728 E Main Ave Suite A, Puyallup, WA 98372 | 2014-12-19 |
1932507191 | & Foot Specialists of Puget Sound, Ps | Podiatrist | 4140 Factoria Blvd Se Suite 1b, Bellevue, WA 98006 | 2014-12-19 |
1013313949 | Ankle & Foot Specialists of Puget Sound, Ps | Podiatrist | 17700 Se 272nd St Ste 370, Covington, WA 98042-4951 | 2014-11-04 |
1366869893 | Stephen J Wold II | Podiatrist | 16701 Ne Mcgillivray Blvd, Ste 220, Vancouver, WA 98683 | 2014-03-21 |
1194085043 | Sara Mahmood | Podiatrist | 1560 N 115th St Ste 102, Seattle, WA 98133-8414 | 2012-05-25 |
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.