DR. MICHAEL BRIAN VICKERS


Address: 4361 Talbot Rd S, 112, Renton, WA 98055-6226
Phone: 4252555111

DR. MICHAEL BRIAN VICKERS (NPI# 1336208321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336208321
Entity Type Individual
Full Name DR. MICHAEL BRIAN VICKERS
Credential DPM
Practice Address 4361 Talbot Rd S
112
Renton
WA 98055-6226
Mailing Address 4361 Talbot Road South
Suite #112
Renton
WA 98055-6226
Practice Telephone 4252555111
Practice Fax Number 4252540985
Mailing Telephone 4252555111
Mailing Fax Number 4252540985
Enumeration Date 2006-12-06
Last Update Date 2011-11-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213E00000X Podiatrist PO00000396 WA Podiatric Medicine & Surgery Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WA 1027366 05

Other Providers MICHAEL VICKERS

NPI Name Taxonomy Address Enumeration
1427057371 Michael J Vickers Psychiatry & Neurology 1660 Medical Blvd Ste 200, Naples, FL 34110-1416 2005-07-21
1205018181 Michael Kent Vickers Nurse Anesthetist, Certified Registered 3510 N Causeway Blvd, Suite 404, Metairie, LA 70002-3531 2007-12-03
1578547485 Michael I Vickers Psychologist 40 Speen St, Suite 106, Framingham, MA 01701-1898 2005-12-05

Office Location

Street Address 4361 TALBOT RD S
112
City RENTON
State WA
Zip Code 98055-6226

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528068533 Renton Sports & Spine Pt Physical Therapist 4361 Talbot Rd S, Suite 100, Renton, WA 98055-6226 2005-08-01
1568875789 Proliance Surgeons, Inc., P.s. Orthopaedic Surgery 4361 Talbot Rd S, Suite 102, Renton, WA 98055-6226 2014-06-05
1063725505 David P Ruoff, Md, Inc, Ps. Orthopaedic Surgery 4361 Talbot Rd S, Suite 102, Renton, WA 98055-6226 2010-07-26
1043490543 Associated Valley Providers Pllc Obstetrics & Gynecology 4361 Talbot Rd S, Suite 112, Renton, WA 98055-6226 2007-11-13
1356541882 Children First Pediatrics, Pllc Clinic/Center 4361 Talbot Rd S, Suite 103, Renton, WA 98055-6226 2007-07-23
1841352143 Orit Hickman Specialist 4361 Talbot Rd S, Ste 100, Renton, WA 98055-6226 2006-12-14
1578623690 John L Vander Heyden Obstetrics & Gynecology 4361 Talbot Rd S, 112, Renton, WA 98055-6226 2006-12-11
1447319330 Mary Louise Mckevitt Registered Nurse 4361 Talbot Rd S, Renton, WA 98055-6226 2006-12-06
1063584498 Deborah Jean Ketterer Podiatrist 4361 Talbot Rd S, Suite 101, Renton, WA 98055-6226 2006-11-14
1043271927 Steven L Summerfield Orthopaedic Surgery 4361 Talbot Rd S, #102, Renton, WA 98055 2006-03-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356965750 Proliance Surgery Center At Valley, LLC Clinic/Center 4009 Talbot Road S, Suite 200, Renton, WA 98055 2020-06-01
1851804959 Talbot Rehabilitation Center, LLC Skilled Nursing Facility 4430 Talbot Road South, Renton, WA 98055 2017-11-10
1154878668 Nelson Family Dentistry Dentist 19221 108th Ave Se Suite #2, Renton, WA 98055 2016-09-01
1598182990 Annie Kyunga Ahn Otolaryngology 4033 Talbot Rd S Ste 540, Renton, WA 98055 2014-03-24
1376960138 Madhuri Gordhan Patel Registered Nurse 3501 Mill Place South, Renton, WA 98055 2014-03-18
1912331042 Karen Dohr Pharmacist 400 S. 43 Street, Renton, WA 98055 2013-08-26
1659637668 Benjamin Reiss Ophthalmology 4300 Talbot Rd S Ste 300, Renton, WA 98055 2012-04-03
1205137940 Duy Ai Quang Hoang Pharmacist 9431 S 196th Pl, Renton, WA 98055 2010-11-11
1972823664 Erica L Ellzey Physical Therapist 18623 112th Ave Se, Renton, WA 98055 2010-06-04
1588984587 Melissa A. Jordan Nurse Anesthetist, Certified Registered 4011 Talbot Rd., 5th Floor, Renton, WA 98055 2010-06-02
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Taxonomy Information

Taxonomy Code 213E00000X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194702274 Gregory W Spencer Podiatrist 327 Morris Ave S, Renton, WA 98055-2522 2005-12-29
1770581910 Mark Thomas Lewis Podiatrist 4300 Talbot Rd S, Suite 102, Renton, WA 98055-6238 2005-07-12
1063067825 Valley Foot & Ankle Pllc Podiatrist 433 Sw 41st St, Renton, WA 98057-4926 2019-08-07
1346265261 Northwest Foot & Ankle Center, Ps Podiatrist 4300 Talbot Rd S, Suite 102, Renton, WA 98055-6238 2006-07-13
1215935457 Petrina Celeste Lewis Podiatrist 4300 Talbot Rd S, Suite 102, Renton, WA 98055-6238 2005-07-12

Providers in the same taxonomy and state

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
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Competitor

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City RENTON
Zip Code 98055

Improve Information

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Dataset Information

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.

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