FAMILY FOOT CLINIC INC (NPI# 1295030971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295030971 |
| Entity Type | Organization |
| Organization Name | FAMILY FOOT CLINIC INC |
| Practice Address |
120 14th Ave Se Suite B Puyallup WA 98372-3718 |
| Practice Telephone | 2538450564 |
| Practice Fax Number | 2537708482 |
| Mailing Telephone | 2538450564 |
| Mailing Fax Number | 2537708482 |
| Enumeration Date | 2011-01-11 |
| Last Update Date | 2011-01-26 |
| Authorized Official Name | DR. CHAD G SMITH (OWNER) |
| Authorized Official Telephone | 2538450564 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP1100X |
Clinic/Center Specialization: Podiatric |
PO 60188334 | WA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| INDIVIDUAL NPI NUMBER | 1427077114 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | FAMILY FOOT CLINIC INC. | 205 15th Ave Sw Ste D, Puyallup, WA 98371-7873 |
| Street Address |
120 14TH AVE SE SUITE B |
| City | PUYALLUP |
| State | WA |
| Zip Code | 98372-3718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619934429 | Pamela D Cowell | Obstetrics & Gynecology | 120 14th Ave Se, Suite C, Puyallup, WA 98372-3718 | 2006-04-26 |
| 1316566623 | Alina A. Melnyk | Physician Assistant | 120 14th Ave Se, Puyallup, WA 98372-3718 | 2020-04-16 |
| 1043765878 | Seattle Orthotics and Prosthetics, LLC | Prosthetic/Orthotic Supplier | 120 14th Ave Se, Suite D, Puyallup, WA 98372-3718 | 2016-08-22 |
| 1225439995 | Kathryn Weakland | Massage Therapist | 120 14th Ave Se, 1, Puyallup, WA 98372-3718 | 2014-09-11 |
| 1417209040 | David Ellis Hensley | Orthotist | 120 14th Ave Se, Suite D, Puyallup, WA 98372-3718 | 2012-10-05 |
| 1881754059 | Sonus-usa, Inc. | Audiologist-Hearing Aid Fitter | 120 14th Ave Se, Suite D, Puyallup, WA 98372-3718 | 2006-12-11 |
| 1578671830 | Mazen Dahan | Pediatrics | 120 14th Ave Se, Suite A, Puyallup, WA 98372 | 2006-08-28 |
| 1235170515 | Bruce Micheal Worthen | Podiatrist | 120 14th Ave Se, Suite B, Puyallup, WA 98372-3718 | 2006-06-09 |
| 1346296571 | Cheryl A Conway | Hearing Instrument Specialist | 120 14th Ave Se, Suite D, Puyallup, WA 98372-3718 | 2006-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371532 | Jeffrey Allen Zhan | Urology | Good Samaritan Medical Office Bldg 1450 5th St Se, Suite 2100- Urology Clinic, Puyallup, WA 98372 | 2019-11-21 |
| 1447811419 | Serenity Counseling & Consulting, LLC | Marriage & Family Therapist | 102 23rd St Se, Unit B, Puyallup, WA 98372 | 2019-06-21 |
| 1316401565 | Katherine Juarez Davidson | Nurse Practitioner | 325 E Pioneer # A145, Puyallup, WA 98372 | 2019-01-22 |
| 1679041404 | Cara Ann Lundin | Nurse Practitioner | 11926 43rd St Crt E, Edgewood, WA 98372 | 2018-11-09 |
| 1104392109 | Megan Black | Occupational Therapist | 40 29th St Ne, Puyallup, WA 98372 | 2018-10-17 |
| 1063919470 | Myriah Shekinah Olakpe | Occupational Therapist | 516 Se 23rd Ave, Puyallup, WA 98372 | 2018-04-11 |
| 1902330202 | Tyler Girdler | Student in an Organized Health Care Education/Training Program | 1322 3rd Street Se Suite 240, Puyallup, WA 98372 | 2017-04-13 |
| 1770039471 | Mahalakshmi Hariharan | Pharmacist | 2117 28th St Se, Puyallup, WA 98372 | 2016-09-01 |
| 1801241112 | Nawazish Ali | Internal Medicine | 401 15th Ave Se Multicare God Samartian Hopsital, Puyallup, WA 98372 | 2016-04-25 |
| 1932567559 | Denice L. Voss | Physical Therapist | 400 29th St. Ne, Puyallup, WA 98372 | 2016-02-10 |
| Find all providers in zip 98372 | ||||
| Taxonomy Code | 261QP1100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Podiatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154988418 | Liberty Lake Foot & Ankle Pllc | Clinic/Center | 23505 E Appleway Ave Ste 104, Liberty Lake, WA 99019-6003 | 2019-05-22 |
| 1891267449 | Multicare Health System | Clinic/Center | 1414 N Houk Rd Ste 104, Spokane Valley, WA 99216-1097 | 2018-12-20 |
| 1841727997 | Joyce E Lee Dpm Pllc | Clinic/Center | 21616 76th Ave W Ste 109, Edmonds, WA 98026-7512 | 2017-05-20 |
| 1740642024 | Public Hospital District No 1 of Mason County | Clinic/Center | 2964b Limited Ln Nw, Olympia, WA 98502-4577 | 2016-03-24 |
| 1669872925 | Nathan Hansen | Clinic/Center | 16708 Bothell Everett Hwy Ste 204, Mill Creek, WA 98012-6345 | 2014-08-23 |
| 1891001921 | Anthony S Karuza, Dpm Ps Inc | Clinic/Center | 3120 Squalicum Pkwy Ste 1, Bellingham, WA 98225-1934 | 2010-08-26 |
| 1982789095 | Spokane Foot Clinic, Ps | Clinic/Center | 3151 E 29th, #101, Spokane, WA 99223 | 2006-10-26 |
| 1306921424 | Spokane Foot Clinic, Ps | Clinic/Center | 606 N Pines, Spokane, WA 99206 | 2006-10-26 |
| 1215012331 | Spokane Foot Clinic, Ps | Clinic/Center | 123 W Francis, Spokane, WA 99205 | 2006-10-26 |
| 1538260534 | Northwest Ambulatory Surgery Center LLC | Clinic/Center | 1920 100th St Se, A1, Everett, WA 98208-3832 | 2006-09-25 |
| 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.