MARYSVILLE FOOT AND ANKLE CLINIC (NPI# 1316166242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316166242 |
| Entity Type | Organization |
| Organization Name | MARYSVILLE FOOT AND ANKLE CLINIC |
| Practice Address |
9516 State Ave Ste D Marysville WA 98270-2277 |
| Practice Telephone | 3606533354 |
| Mailing Telephone | 3606533354 |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. TODD SKILES (OWNER) |
| Authorized Official Telephone | 3606533354 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
Allopathic & Osteopathic Physicians |
| Street Address |
9516 STATE AVE STE D |
| City | MARYSVILLE |
| State | WA |
| Zip Code | 98270-2277 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730706631 | Amy Jean Tuengel | Massage Therapist | 4731 61st Ne, Marysville, WA 98270 | 2020-06-26 |
| 1821569534 | Andrew M Reid | Physical Therapist | Marysville Physical Therapy, 919 State Avenue Suite 101, Marysville, WA 98270 | 2018-12-07 |
| 1861989162 | Jenna Celine Schmidt | Student in an Organized Health Care Education/Training Program | Seamar Marysville Family Medicine Residency Program, 9710 State Ave, Marysville, WA 98270 | 2018-04-23 |
| 1497103162 | Kyoung Craddock | Registered Nurse | 5722 65th St Ne, Marysville, WA 98270 | 2016-06-02 |
| 1235553348 | Marysville School District | Speech-Language Pathologist | 4220 80th Street Ne, Marysville School District, Marysville, WA 98270 | 2014-02-10 |
| 1386085694 | Malgorzata Cassidy | Counselor | 4308 76th. St. Ne, Marysville, WA 98270 | 2013-07-15 |
| 1972852374 | Suzanne Leboeuf | Counselor | 1227 2nd St., Marysville, WA 98270 | 2012-08-31 |
| 1508121161 | Tricia Nicole Davis | Pharmacy Technician | 6602 74th St Ne, Marysville, WA 98270 | 2012-07-10 |
| 1962774216 | Lynae Marie Swinheart | Community/Behavioral Health | 6418 66th Pl Ne, Marysville, WA 98270 | 2012-02-02 |
| 1598042459 | Jamie Rae Isaacson | Speech-Language Pathologist | 1820 Grove St., Marysville, WA 98270 | 2011-11-07 |
| Find all providers in zip 98270 | ||||
| Taxonomy Code | 207XX0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Foot and Ankle Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: title modified, definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. ACGME Accredited Residency Program Requirements: 1 year of training with 5 years Orthopedic Surgery for a total of 6 years. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457417115 | Anne P Mccormack | Orthopaedic Surgery | 6823 19th Ave Ne, Seattle, WA 98115-6941 | 2006-12-28 |
| 1073925087 | Thiran Udawatta | Orthopaedic Surgery | 325 9th Ave, Seattle, WA 98104-2420 | 2014-05-25 |
| 1518229152 | Kenneth Moy Chin | Orthopaedic Surgery | 10330 Meridian Ave N, Seattle, WA 98133-9451 | 2012-06-11 |
| 1750660783 | Nicole Zappa | Orthopaedic Surgery | 908 Jefferson St, Seattle, WA 98104-2433 | 2011-08-08 |
| 1104060490 | Wendy Mon-gen Pierce | Orthopaedic Surgery | 2200 Nw Myhre Rd, Silverdale, WA 98383-7681 | 2009-04-30 |
| 1588817118 | Uma E Erard | Orthopaedic Surgery | 908 Jefferson St, Seattle, WA 98104-2433 | 2008-10-28 |
| 1215183850 | Alan Joseph Laing | Orthopaedic Surgery | 325 9th Ave, Seattle, WA 98104-2420 | 2008-08-14 |
| 1083870075 | Joan R Williams | Orthopaedic Surgery | 908 Jefferson St, Seattle, WA 98104-2433 | 2008-07-30 |
| 1457525149 | Dorian Yvonne Reid | Orthopaedic Surgery | 209 Martin Luther King Jr Way, Tacoma, WA 98405-4265 | 2008-04-15 |
| 1811168339 | Janice Patrece Clark | Orthopaedic Surgery | 1660 S Columbian Way, Seattle, WA 98108-1532 | 2008-03-13 |
| Find all providers with the same taxonomy | ||||
| City | MARYSVILLE |
| Zip Code | 98270 |
Please comment or provide details below to improve the information on MARYSVILLE FOOT AND ANKLE CLINIC.
| 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.