ANKLE & FOOT SPECIALISTS OF PUGET SOUND, PS (NPI# 1558668582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558668582 |
Entity Type | Organization |
Organization Name | ANKLE & FOOT SPECIALISTS OF PUGET SOUND, PS |
Practice Address |
2728 E Main Ave Suite A Puyallup WA 98372-3198 |
Practice Telephone | 2538412006 |
Practice Fax Number | 2538406691 |
Mailing Telephone | 2538412006 |
Mailing Fax Number | 2538406691 |
Enumeration Date | 2011-02-28 |
Last Update Date | 2014-11-03 |
Authorized Official Name | CHARLES R CHU (OWNER) |
Authorized Official Telephone | 4254492471 |
Authorized Official Credential | DPM |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers | ||
N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers | ||
Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
Podiatric Medicine & Surgery Service Providers |
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 |
1346548658 | Ankle & Foot Specialists of Puget Sound, Ps | Podiatrist | 4140 Factoria Blvd Se, Suite 1b, Bellevue, WA 98006-5261 | 2011-03-10 |
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 |
Street Address |
2728 E MAIN AVE SUITE A |
City | PUYALLUP |
State | WA |
Zip Code | 98372-3198 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710972740 | Ronald S Sorensen | Podiatrist | 2728 E Main Ave, Suite A, Puyallup, WA 98372-3198 | 2005-09-15 |
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 |
1124203963 | Puget Sound Specialty Physicians Pllc | Podiatrist | 2728 E Main Ave, Suite A, Puyallup, WA 98372-3198 | 2007-12-28 |
1588843254 | Puget Sound Specialty Physicians Pllc | Podiatrist | 2728 E Main Ave, Suite A, Puyallup, WA 98372-3198 | 2007-10-30 |
1346235959 | Charles R Chu | Podiatrist | 2728 E Main Ave, Suite A, Puyallup, WA 98372-3198 | 2005-09-20 |
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 | 213EP1101X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Primary Podiatric Medicine |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568673895 | Victoria Kovacs Penfield | Podiatrist | 15717 136th Avenue Ct E, Puyallup, WA 98374-9688 | 2007-05-25 |
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 |
1891705935 | Timothy S Grace | Podiatrist | 11212 Sunrise Blvd E, # 203, Puyallup, WA 98374-8847 | 2006-08-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649708819 | Theresa H.t. Nguyen Pllc | Podiatrist | 17530 Ne Union Hill Rd Ste 110, Redmond, WA 98052-3340 | 2017-05-31 |
1366749095 | Rapha Clinics, Inc | Podiatrist | 1130 N 185th St Ste 202, Shoreline, WA 98133-4011 | 2011-02-15 |
1922122811 | Randall S. Fisher | Podiatrist | 8610 Eastview Ave, Everett, WA 98208-3516 | 2007-03-18 |
1689732588 | Hugh James Gorey Jr. | Podiatrist | 12001 Pacific Ave S., #204, Tacoma, WA 98444-5101 | 2006-12-04 |
1134154032 | Stephen Haggard | Podiatrist | 210 27th Ave Apt F105, Milton, WA 98354-8330 | 2006-07-11 |
1265470678 | Broadway Foot & Ankle Ps | Podiatrist | 6625 W Crest View Loop Se, Snoqualmie, WA 98065-8912 | 2006-06-04 |
1063493559 | Randolph Charles Fish | Podiatrist | 915 So. 76th St., Tacoma, WA 98408-2902 | 2005-11-10 |
1982694501 | Michael Aziz Mishalanie | Podiatrist | 401 S 43rd St, Suite 110, Renton, WA 98055-5404 | 2005-10-25 |
1942206891 | Brent Barker | Podiatrist | 18007 Ne 26th St, Vancouver, WA 98684-0735 | 2005-06-24 |
1720083652 | John Yohan Joo | Podiatrist | 1130 N 185th St, Suite 200, Shoreline, WA 98133-4011 | 2005-06-16 |
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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.