PREMIER PODIATRY (NPI# 1336440833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336440833 |
| Entity Type | Organization |
| Organization Name | PREMIER PODIATRY |
| Practice Address |
1702 Dexter Ave N Seattle WA 98109-3021 |
| Mailing Address |
Po Box 9086 Seattle WA 98109-0086 |
| Practice Telephone | 2064321883 |
| Mailing Telephone | 2064321883 |
| Enumeration Date | 2010-11-15 |
| Last Update Date | 2011-02-14 |
| Authorized Official Name | MICHAELA OSTRADICKY (OWNER) |
| Authorized Official Telephone | 2064321883 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | PO60074559 | WA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | P00773702 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720445281 | Premier Podiatry | Podiatrist | 405 Woodlawn Rd, Long Grove, IA 52756-8745 | 2016-01-28 |
| 1316267693 | Premier Podiatry | Podiatrist | 1930 Crown Park Ct, Suite 120, Columbus, OH 43235-2402 | 2010-06-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PREMIER PODIATRY GROUP | 3133 New Germany Rd Ste 62, Ebensburg, PA 15931-4348 |
| Virginia Business Entities | Premier Podiatry LLC | Two James Center, 1021 E Cary St 17th Fl, Richmond, Virginia 23219 |
| Colorado Business Entities | Premier Podiatry of Colorado, Inc. | 7470 S Sheridan Ct, Littleton, CO 80128 |
| Iowa Business Entities | PREMIER PODIATRY, LLC | 608 Main St, 171, Bagley, IA 50026 |
| Street Address |
1702 DEXTER AVE N |
| City | SEATTLE |
| State | WA |
| Zip Code | 98109-3021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942442975 | Michaela Ostradicky | Podiatrist | 1702 Dexter Ave N, Seattle, WA 98109-3021 | 2009-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710590179 | Direct Urgent Care Inc | Internal Medicine | 220 6th Avenue North, Seattle, WA 98109 | 2020-08-26 |
| 1073147104 | Hannah Christine Hoyt | Registered Nurse | 1354 Aloha St, Seattle, WA 98109 | 2020-02-27 |
| 1508402645 | Emily Elizabeth Rock | Counselor | Rain City Integrative Clinic, 2730 Westlake Ave N, Seattle, WA 98109 | 2019-11-25 |
| 1770048464 | Roger Leach | Massage Therapist | 4162, Roy Street, Seattle, WA 98109 | 2019-02-06 |
| 1306316658 | Laura Katie Richer | Counselor | 1817 Queen Anne Ave. N., 204, Seattle, WA 98109 | 2018-11-29 |
| 1912492828 | One Medical Group of Washington, P.C. | Psychologist | 625 Boren Avenue North, Seattle, WA 98109 | 2018-06-25 |
| 1942793526 | Washington Dental Corporation, PC | Dentist | 527 Boren Ave N, Seattle, WA 98109 | 2018-06-08 |
| 1417449968 | Chelsie Mccalla | Occupational Therapy Assistant | Mirabella, 116 Fairview Ave N, Seattle, Seattle, WA 98109 | 2018-05-31 |
| 1710405964 | Next Level Sports Performance Consulting | Clinic/Center | 24 Roy Street, #461, Seattle, WA 98109 | 2017-09-07 |
| 1679091953 | Amy Ly Indorf | Pharmacist | 825 Eastlake Ave E #msg5-90, Seattle, WA 98109 | 2017-09-06 |
| Find all providers in zip 98109 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003449430 | Seniorwell Pod of Washington LLC | Podiatrist | 506 Secord Avenue, Suite 1400, Seattle, WA 98104-2329 | 2020-02-13 |
| 1194085043 | Sara Mahmood | Podiatrist | 1560 N 115th St Ste 102, Seattle, WA 98133-8414 | 2012-05-25 |
| 1700108651 | Alexis A Mckeown | Podiatrist | 1950 Alaskan Way 526, Seattle, WA 98101-1078 | 2010-02-19 |
| 1942442975 | Michaela Ostradicky | Podiatrist | 1702 Dexter Ave N, Seattle, WA 98109-3021 | 2009-04-06 |
| 1174649727 | Glenn David Yocum | Podiatrist | 5407 17th Ave Nw, Seattle, WA 98107-3818 | 2007-03-22 |
| 1770650822 | Kim K. Lau | Podiatrist | 14213 Ambaum Blvd Sw, Seattle, WA 98166 | 2006-11-30 |
| 1649352527 | Anthony Lo | Podiatrist | 515 Minor Ave., Suite 240, Seattle, WA 98104-2133 | 2006-10-19 |
| 1790885358 | Douglas S Hale | Podiatrist | 600 Broadway Ste 220, Seattle, WA 98122-5373 | 2006-09-24 |
| 1154429249 | Stanley G Newell Dpm Ps | Podiatrist | 9501 5th Ave Ne, Seattle, WA 98115-2108 | 2006-09-20 |
| 1831297928 | Erik Christopher Lilja | Podiatrist | 400 N 34th St Ste 203, Seattle, WA 98103-8600 | 2006-09-20 |
| Find all providers in SEATTLE | ||||
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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.