ANKLE & FOOT SPECIALISTS OF PUGET SOUND, PS (NPI# 1346548658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346548658 |
| Entity Type | Organization |
| Organization Name | ANKLE & FOOT SPECIALISTS OF PUGET SOUND, PS |
| Other Organization Name | FACTORIA FOOT & ANKLE CLINIC |
| Practice Address |
4140 Factoria Blvd Se Suite 1b Bellevue WA 98006-5261 |
| Mailing Address |
2728 E Main Suite A Puyallup WA 98372-3198 |
| Practice Telephone | 4256442313 |
| Practice Fax Number | 4256444739 |
| Mailing Telephone | 2538412006 |
| Mailing Fax Number | 2538406691 |
| Enumeration Date | 2011-03-10 |
| Last Update Date | 2012-07-24 |
| Authorized Official Name | CHARLES R CHU (OWNER) |
| Authorized Official Telephone | 4254492471 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | Y |
| Parent Organization Name | ANKLE & FOOT SPECIALISTS OF PUGET SOUND, PS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
Podiatric Medicine & Surgery Service Providers | ||
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers | ||
| Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| Other Name | Type Code |
|---|---|
| Factoria Foot & Ankle Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013313949 | Ankle & Foot Specialists of Puget Sound, Ps | Podiatrist | 17700 Se 272nd St Ste 370, Covington, WA 98042-4951 | 2014-11-04 |
| 1568753499 | Ankle & Foot Specialists of Puget Sound, Ps | Podiatrist | 751 Ne Blakely Dr Fl 4, Issaquah, WA 98029-6201 | 2011-04-26 |
| 1023416286 | Ankle & Foot Specialists of Puget Sound, Ps | Podiatrist | 2820 Griffin Ave Ste 101, Enumclaw, WA 98022-2373 | 2014-12-19 |
| 1902167471 | Ankle & Foot Specialists of Puget Sound, Ps | Podiatrist | 18100 Ne Union Hill Rd, Suite 200, Redmond, WA 98052-3330 | 2012-05-31 |
| 1649561168 | Ankle & Foot Specialists of Puget Sound, Ps | Podiatrist | 3908 10th St Se, Puyallup, WA 98374-2188 | 2011-05-02 |
| 1760781827 | Ankle & Foot Specialists of Puget Sound, Ps | Podiatrist | 2728 E Main Ave, Suite A, Puyallup, WA 98372-3198 | 2011-03-15 |
| 1437457744 | Ankle & Foot Specialists of Puget Sound, Ps | Podiatrist | 2728 E Main Ave, Suite A, Puyallup, WA 98372-3198 | 2011-03-10 |
| 1164720462 | Ankle & Foot Specialists of Puget Sound, Ps | Podiatrist | 2820 Griffin Ave, Suite 101, Enumclaw, WA 98022-2373 | 2011-03-10 |
| 1558668582 | Ankle & Foot Specialists of Puget Sound, Ps | Podiatrist | 2728 E Main Ave, Suite A, Puyallup, WA 98372-3198 | 2011-02-28 |
| Street Address |
4140 FACTORIA BLVD SE SUITE 1B |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98006-5261 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417946955 | Gaylene Ann Adams | Nurse Practitioner | 4140 Factoria Blvd Se, Ste A, Bellevue, WA 98006-5261 | 2005-10-18 |
| 1215334156 | Barbara Winges Conflitti | Nurse Practitioner | 4140 Factoria Blvd Se, Bellevue, WA 98006-5261 | 2014-11-20 |
| 1760661334 | Puget Sound Specialty Physicians Pllc | Podiatrist | 4140 Factoria Blvd Se, Suite 1b, Bellevue, WA 98006-5261 | 2007-10-30 |
| 1396898086 | Mark K Piker | Psychiatry & Neurology | 4140 Factoria Blvd Se, Ste A, Bellevue, WA 98006-5261 | 2007-01-18 |
| 1932267796 | Raymond K Chan | Dentist | 4140 Factoria Blvd Se, #2b, Bellevue, WA 98006 | 2006-12-05 |
| 1992784656 | Courtney Laird Montgomery | Nurse Practitioner | 4140 Factoria Blvd Se, Suite A, Bellevue, WA 98006-5261 | 2006-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033602628 | Junmei Jin | Acupuncturist | 4317 Factoria Blvd Se Ste C, Bellevue, WA 98006 | 2018-06-08 |
| 1144733106 | Justin J Ho | Physical Therapist | 12917 Se 38th St Ste 208, Bellevue, WA 98006 | 2017-11-13 |
| 1932507191 | & Foot Specialists of Puget Sound, Ps | Podiatrist | 4140 Factoria Blvd Se Suite 1b, Bellevue, WA 98006 | 2014-12-19 |
| 1437556347 | Hilla Asadi | Naturopath | 12600 Se 38th St. #130, Bellevue, WA 98006 | 2014-11-21 |
| 1023433141 | Lori Anne Price | Speech-Language Pathologist | 12 Lummi Key, Bellevue, WA 98006 | 2014-02-26 |
| 1841628344 | Cohen, Manavi & Pakrvan Inc | Dentist | 3630a Factoria Blvd Se, Bellevue, WA 98006 | 2013-10-17 |
| 1740617836 | Kathleen L Carter | Massage Therapist | 5446 119th Ave Se #d, Bellevue, WA 98006 | 2013-10-03 |
| 1790037547 | Mellissa Ann Ilgen | Dentist | 4100 Factoria Blvd. Se, Suite C, Bellevue, WA 98006 | 2012-10-03 |
| 1982994364 | Hero House | Community/Behavioral Health | 12838 Se 40th Pl, Bellevue, WA 98006 | 2011-04-19 |
| 1356657738 | Lilia Schastlivaya | Massage Therapist | 13210 Se Newport Way, K201, Bellevue, WA 98006 | 2010-08-24 |
| Find all providers in zip 98006 | ||||
| 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 |
|---|---|---|---|---|
| 1932507191 | & Foot Specialists of Puget Sound, Ps | Podiatrist | 4140 Factoria Blvd Se Suite 1b, Bellevue, WA 98006 | 2014-12-19 |
| 1093952616 | Hubert W Lee | Podiatrist | 12737 Bel-red Rd, Suite 200, Bellevue, WA 98005-2608 | 2009-01-20 |
| 1699763938 | Donald Eugene Buddecke Jr. | Podiatrist | 2705 Samson Way, Bellevue, NE 68123-4307 | 2005-10-11 |
| 1811984248 | Suzanne M Wilson | Podiatrist | 1609 116th Ave Ne, Bellevue, WA 98004 | 2005-09-30 |
| 1073955944 | Careplus Foot and Ankle Specialists, LLC | Podiatrist | 12737 Bel Red Rd, Suite 200, Bellevue, WA 98005-2699 | 2013-07-21 |
| 1427348838 | Nebraska Lower Extremity Surgery Group, LLC | Podiatrist | 2705 Samson Way, Bellevue, NE 68123-4307 | 2011-04-19 |
| 1376763433 | Advanced Family Medicine | Podiatrist | 1940 116th Ave Ne, Suite 200, Bellevue, WA 98004-3097 | 2007-04-30 |
| 1467677906 | Toshifumi J Saigo Dpm Inc Ps | Podiatrist | 14575 Bel Red Rd, #c102, Bellevue, WA 98007-3908 | 2007-04-17 |
| 1124162235 | Professional Recreation Organization, Inc. | Podiatrist | 4455 148th Ave Ne, Bellevue, WA 98007-3120 | 2007-02-20 |
| 1952480899 | Podiatric Physicians and Surgeons P.s. | Podiatrist | 11711 Ne 12th St, Suite 1b, Bellevue, WA 98005 | 2006-11-02 |
| Find all providers in BELLEVUE | ||||
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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.