ANKLE & FOOT CLINICS NORTHWEST, P.S. (NPI# 1225376429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225376429 |
Entity Type | Organization |
Organization Name | ANKLE & FOOT CLINICS NORTHWEST, P.S. |
Other Organization Name | ALPINE FOOT & ANKLE CLINIC |
Practice Address |
17432 Smokey Point Blvd Suite 103 Arlington WA 98223-6363 |
Mailing Address |
3131 Nassau St Suite 101 Everett WA 98201-4137 |
Practice Telephone | 3606532326 |
Practice Fax Number | 3606588944 |
Mailing Telephone | 4253398888 |
Mailing Fax Number | 4252586933 |
Enumeration Date | 2013-01-22 |
Last Update Date | 2013-01-22 |
Authorized Official Name | JEFFREY C CHRISTENSEN (PRESIDENT/OWNER) |
Authorized Official Telephone | 4253398888 |
Authorized Official Credential | DPM |
Is Organization Subpart | Y |
Parent Organization Name | ANKLE & FOOT CLINICS NORTHWEST, P.S. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
PO 00000367 | WA | Podiatric Medicine & Surgery Service Providers |
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
PO 60217485 | WA | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | 1730154584 | 05 | |
REGENCE BLUE SHIELD | AN0085 | 01 | |
LABOR & INDUSTRIES | 69527 | 01 |
Other Name | Type Code |
---|---|
Alpine Foot & Ankle Clinic | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629357520 | Ankle & Foot Clinics Northwest, P.s. | Podiatrist | 515 Minor Ave, Suite 240, Seattle, WA 98104-2120 | 2011-08-09 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Washington State Corporations | ANKLE & FOOT CLINICS NORTHWEST, P.S. | 3131 Nassau St, Ste 101, Everett, WA 98201-4137 |
Street Address |
17432 SMOKEY POINT BLVD SUITE 103 |
City | ARLINGTON |
State | WA |
Zip Code | 98223-6363 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467459511 | Philip Thomas Williams | Optometrist | 17432 Smokey Point Blvd, Suite #102, Arlington, WA 98223-8784 | 2005-07-05 |
1629254339 | Alpine Foot & Ankle Clinic, Ps | Durable Medical Equipment & Medical Supplies | 17432 Smokey Point Blvd, Suite 103, Arlington, WA 98223-6363 | 2008-01-11 |
1497701742 | Fred J. Hawley Jr. | Podiatrist | 17432 Smokey Point Blvd, Suite 103, Arlington, WA 98223-6363 | 2006-05-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225667462 | Clark Nursing LLC | Registered Nurse | 30818 412th Dr. N.e., Arlington, WA 98223 | 2020-04-08 |
1952952442 | Tina Willett | Technician | 18404 19th Avenue Ne, Arlington, WA 98223 | 2019-09-25 |
1841841764 | Carolyn Marie Lantz | Technician | 6002 Cemetery Road, Arlington, WA 98223 | 2019-09-23 |
1801457643 | Maddison Post | Massage Therapist | 18725 Smokey Point Boulevard, Arlington, WA 98223 | 2019-06-24 |
1790341113 | Brandon Tyler Stott | Specialist/Technologist | 17023 11th Ave Ne, Arlington, WA 98223 | 2019-05-10 |
1881177715 | Hailey R Tanis | Massage Therapist | 3131 Smokey Point Drive #5b, Arlington, WA 98223 | 2018-09-06 |
1407381023 | Rest Easy Hair Clinic | Specialist | 3710 168th Street N.e. B101, Arlington, WA 98223 | 2017-04-21 |
1851839617 | Jamie Claire Chatters-elf | Preventive Medicine | 315 N French Avenue, Arlington, WA 98223 | 2017-02-01 |
1790153286 | Glenda Louise Taylor | Massage Therapist | 16404 Smokey Point Blvd #307, 307, Arlington, WA 98223 | 2015-09-14 |
1972990042 | Lizette Jamora Antig | Pediatrics | 875 Wesley St Ste 130, Arlington, WA 98223 | 2015-04-16 |
Find all providers in zip 98223 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760047153 | Interventional Partners LLC | Podiatrist | 3600 Matlock Rd Ste 104, Arlington, TX 76015-3679 | 2019-05-01 |
1508249558 | Scott Floyd | Podiatrist | 3030 Matlock Rd Ste 102, Arlington, TX 76015-2934 | 2015-07-08 |
1376959700 | Dae Sik Alex Kim | Podiatrist | 1108 W Pioneer Pkwy # 200, Arlington, TX 76013-7627 | 2014-07-07 |
1316104763 | Max Ribald Dpm, PC | Podiatrist | 801 Road To Six Flags W Ste 150, Arlington, TX 76012-2600 | 2008-05-21 |
1114051463 | Dharmesh Bhakta, Dpm, Pa | Podiatrist | 3050 S Center St Ste 140, Arlington, TX 76014 | 2007-03-16 |
1285652578 | Michael V Tran | Podiatrist | 629 Matlock Centre Cir, Arlington, TX 76015-2535 | 2006-07-17 |
1861435596 | Max Ribald | Podiatrist | 801 Road To Six Flags W #150, Arlington, TX 76012 | 2006-06-13 |
1740631548 | Robert Scott Dominguez | Podiatrist | 1186 W Pioneer Pkwy, Arlington, TX 76013-6367 | 2016-06-23 |
1528441847 | Jacob Boyce Jasper | Podiatrist | 3050 S Center St Ste 140, Arlington, TX 76014 | 2015-07-06 |
1447632724 | Ashley Michelle Varner | Podiatrist | 801 Road To Six Flags W Ste 150, Arlington, TX 76012 | 2015-06-23 |
Find all providers in ARLINGTON |
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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.