PALOUSE FOOT & ANKLE CLINIC (NPI# 1205011889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205011889 |
| Entity Type | Organization |
| Organization Name | PALOUSE FOOT & ANKLE CLINIC |
| Practice Address |
619 S Washington St 103 Moscow ID 83843-3090 |
| Mailing Address |
825 Se Bishop Blvd 801 Pullman WA 99163-5517 |
| Practice Telephone | 2088828939 |
| Practice Fax Number | 5093340380 |
| Mailing Telephone | 2088828939 |
| Mailing Fax Number | 5093340380 |
| Enumeration Date | 2008-01-02 |
| Last Update Date | 2008-01-24 |
| Authorized Official Name | BRAD J CAPAWANA (OWNER) |
| Authorized Official Telephone | 5093344498 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 1298150002 | ID | Suppliers |
| Street Address |
619 S WASHINGTON ST 103 |
| City | MOSCOW |
| State | ID |
| Zip Code | 83843-3090 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447257076 | Bradley J Capawana | Podiatrist | 619 S Washington St, Ste 103, Moscow, ID 83843-3090 | 2005-06-28 |
| 1720624000 | Victoria Ahles | Family Medicine | 619 S Washington St, Moscow, ID 83843-3090 | 2019-11-21 |
| 1083043327 | Courtney Tanner | Massage Therapist | 619 S Washington St, Moscow, ID 83843-3090 | 2013-11-07 |
| 1083042048 | Lori Reynolds | Massage Therapist | 619 S Washington St, Moscow, ID 83843-3090 | 2013-10-29 |
| 1699103317 | Rachael Marlene Monroe | Massage Therapist | 619 S Washington St, Ste 101, Moscow, ID 83843-3090 | 2013-10-15 |
| 1346689783 | Danielle Marie Watson | Specialist | 619 S Washington St, Ste 202, Moscow, ID 83843-3090 | 2013-06-19 |
| 1730466616 | Paradise Creek Counseling and Consulting | Counselor | 619 S Washington St, Suite 301, Moscow, ID 83843-3090 | 2011-11-07 |
| 1932412103 | Palouse-clearwater Neurology, P.a. | Psychiatry & Neurology | 619 S Washington St, Suite 201, Moscow, ID 83843-3090 | 2010-07-16 |
| 1043492655 | Total Health Physician Group LLC | Family Medicine | 619 S Washington St, Suite 203, Moscow, ID 83843-3090 | 2007-12-05 |
| 1891918629 | Drue O. Wagner | Family Medicine | 619 S Washington St, Suite 203, Moscow, ID 83843-3090 | 2007-04-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033726880 | Moscow Physical Therapy, LLC | Clinic/Center | 1174 Alturas Drive, Suite 2, Moscow, ID 83843 | 2020-09-25 |
| 1831703057 | Hydee Flishaw Tubbs Becker | Dietitian, Registered | 614 North Hayes Street, Moscow, ID 83843 | 2020-09-04 |
| 1528626959 | Ryan Steven Clark | Student in an Organized Health Care Education/Training Program | 212 Farm Road, #201, Moscow, ID 83843 | 2019-05-31 |
| 1770141384 | Lingwen Zhang | Specialist/Technologist | 901 Paradise Creek Rd, Moscow, ID 83843 | 2019-05-30 |
| 1306363478 | Elizabeth Campbell | Dietitian, Registered | 611 S. Main, Moscow, ID 83843 | 2017-08-29 |
| 1598285496 | Gina Cretser | Counselor | 212 Rodeo Dr. #410, Moscow, ID 83843 | 2017-06-21 |
| 1124558721 | Morgan Leigh Derloshon | Specialist/Technologist | 275 Southview Ave, Apt 206, Moscow, ID 83843 | 2017-06-15 |
| 1619411790 | Kaylene Howard | Massage Therapist | 127 South Washington, Suite 6, Moscow, ID 83843 | 2016-12-08 |
| 1407237043 | Jacob Kent Christensen | Family Medicine | 831 S Ash St, Moscow, ID 83843 | 2015-06-09 |
| 1366851388 | Elisabeth Henry | Pharmacist | 2740 West Pullman Rd, Moscow, ID 83843 | 2014-08-04 |
| Find all providers in zip 83843 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881961381 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 2470 W Pullman Rd, Moscow, ID 83843-4034 | 2011-11-28 |
| 1407976798 | University of Idaho | Durable Medical Equipment & Medical Supplies | 129 West Third St., Moscow, ID 83843-0000 | 2007-03-30 |
| 1336239458 | Rite Aid of Pennsylvania LLC | Durable Medical Equipment & Medical Supplies | 6 Bocchichio Blvd, Moscow, PA 18444-0658 | 2006-10-13 |
| 1235248774 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 1810 West Pullman Road, Palouse Empire Mall, Moscow, ID 83843-4014 | 2006-08-29 |
| 1073559696 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 1320 S Blaine St, Moscow, ID 83843-3971 | 2006-06-21 |
| 1558364141 | Hodgins Drug Store, Inc. | Durable Medical Equipment & Medical Supplies | 307 S Main St, Moscow, ID 83843-2913 | 2005-05-27 |
| 1619490034 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1810 W Pullman Rd, Moscow, ID 83843-4014 | 2017-07-18 |
| 1346488590 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 414 N Main St, Moscow, ID 83843-2631 | 2009-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992335798 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1441 Ne 10th Ave Ste P1, Payette, ID 83661-5420 | 2020-01-21 |
| 1710528211 | Live Well Cpap and Medical Supply | Durable Medical Equipment & Medical Supplies | 11513 W Fairview Ave Ste 103, Boise, ID 83713-7887 | 2019-10-05 |
| 1053962712 | Rick Jay Williams | Durable Medical Equipment & Medical Supplies | 4723 Airport Rd, Nampa, ID 83687-9569 | 2019-09-24 |
| 1831741354 | Sound Sleep Medical LLC | Durable Medical Equipment & Medical Supplies | 1070 N Curtis Rd Ste 110, Boise, ID 83706-1248 | 2019-07-15 |
| 1215589734 | Sound Sleep Medical LLC | Durable Medical Equipment & Medical Supplies | 210 W Georgia Ave Ste 100, Nampa, ID 83686-5688 | 2019-07-15 |
| 1023581055 | Dermaclinical, Inc. | Durable Medical Equipment & Medical Supplies | 7154 W State St Ste 397, Boise, ID 83714-7421 | 2019-01-02 |
| 1467923789 | Amador Medical, LLC | Durable Medical Equipment & Medical Supplies | 963 S Orchard St Ste 203, Boise, ID 83705-1962 | 2018-12-14 |
| 1801365382 | Michael Jackson | Durable Medical Equipment & Medical Supplies | 5537b N Glenwood St Ste B, Garden City, ID 83714-1336 | 2018-11-14 |
| 1558840900 | Pure Vita Co. | Durable Medical Equipment & Medical Supplies | 4775 N Sunderland Ln, Boise, ID 83704-2216 | 2018-08-07 |
| 1023503497 | Evergreen Prosthetics and Orthotics, LLC | Durable Medical Equipment & Medical Supplies | 1818 S 10th Ave Ste 240, Caldwell, ID 83605-4880 | 2018-06-27 |
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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.