PUGET SOUND SPECIALTY PHYSICIANS PLLC (NPI# 1588843254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588843254 |
| Entity Type | Organization |
| Organization Name | PUGET SOUND SPECIALTY PHYSICIANS PLLC |
| Other Organization Name | SUMNER/PUYALLUP FOOT & ANKLE CLINIC |
| 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 | 2007-10-30 |
| Last Update Date | 2009-01-22 |
| Authorized Official Name | TINA M QUEVEDO (BILLING OFFICE SUPERVISOR) |
| Authorized Official Telephone | 2538412006 |
| Is Organization Subpart | Y |
| Parent Organization Name | PUGET SOUND SPECIALTY PHYSICIANS PLLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
WA | Podiatric Medicine & Surgery Service Providers |
| Other Name | Type Code |
|---|---|
| Sumner/Puyallup Foot & Ankle Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144401704 | Puget Sound Specialty Physicians Pllc | Podiatrist | 19820 Hwy 410 East, Bonney Lake, WA 98391 | 2007-11-23 |
| 1124203963 | Puget Sound Specialty Physicians Pllc | Podiatrist | 2728 E Main Ave, Suite A, Puyallup, WA 98372-3198 | 2007-12-28 |
| 1770766271 | Puget Sound Specialty Physicians Pllc | Podiatrist | 2820 Griffin Ave, Suite 101, Enumclaw, WA 98022-2373 | 2007-12-07 |
| 1760661334 | Puget Sound Specialty Physicians Pllc | Podiatrist | 4140 Factoria Blvd Se, Suite 1b, Bellevue, WA 98006-5261 | 2007-10-30 |
| 1114106796 | Puget Sound Specialty Physicians Pllc | Podiatrist | 2005 Nw Sammamish Rd, Issaquah, WA 98027-8940 | 2007-10-30 |
| 1477732055 | Puget Sound Specialty Physicians Pllc | Podiatrist | 3908 10th St Se, Puyallup, WA 98374-2188 | 2007-10-30 |
| 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 |
| 1558668582 | Ankle & Foot Specialists of Puget Sound, Ps | Podiatrist | 2728 E Main Ave, Suite A, Puyallup, WA 98372-3198 | 2011-02-28 |
| 1124203963 | Puget Sound Specialty Physicians Pllc | Podiatrist | 2728 E Main Ave, Suite A, Puyallup, WA 98372-3198 | 2007-12-28 |
| 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 | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891119129 | Lance Alfred Nethercott | Podiatrist | 2728 E Main Ste A, Puyallup, WA 98372-3198 | 2014-02-06 |
| 1679751135 | Kenneth Hilliard Dpm | Podiatrist | 1011 East Main, Suite 101, Puyallup, WA 98372-6768 | 2008-02-07 |
| 1851358436 | Tyler Alden Scheinost | Podiatrist | 324 E Pioneer, Puyallup, WA 98372-3264 | 2006-04-27 |
| 1801312442 | Cmhpod Pllc | Podiatrist | 8012 112th Street Ct E Ste 120, Puyallup, WA 98373-7856 | 2017-08-15 |
| 1124203963 | Puget Sound Specialty Physicians Pllc | Podiatrist | 2728 E Main Ave, Suite A, Puyallup, WA 98372-3198 | 2007-12-28 |
| 1326229485 | Dpmleonheartprwa LLC | Podiatrist | 10116 116th St E, Suite 103, Puyallup, WA 98373-3543 | 2007-11-16 |
| 1790966851 | Dpmsaltonprwa LLC | Podiatrist | 11201 88th Ave E, Suite 210, Puyallup, WA 98373-3802 | 2007-11-16 |
| 1477732055 | Puget Sound Specialty Physicians Pllc | Podiatrist | 3908 10th St Se, Puyallup, WA 98374-2188 | 2007-10-30 |
| 1235170515 | Bruce Micheal Worthen | Podiatrist | 120 14th Ave Se, Suite B, Puyallup, WA 98372-3718 | 2006-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598392599 | Northern Cascades Foot and Ankle, LLC | Podiatrist | 532 E. Woodin Ave, Chelan, WA 98816-1852 | 2020-03-27 |
| 1801433784 | South Hill Foot & Ankle Clinic Ps | Podiatrist | 3707 S Grand Blvd Ste A, Spokane, WA 99203-2762 | 2019-12-10 |
| 1679025902 | Fasa Family Wellness, Pllc | Podiatrist | 2964 Limited Ln Nw, Suite B, Olympia, WA 98502-4577 | 2016-11-03 |
| 1356899363 | Emily Wagler | Podiatrist | 34509 9th Ave S Ste 303, Federal Way, WA 98003-8709 | 2016-09-19 |
| 1821546540 | Ata Podiatric and Integrative Medicine, Pllc | Podiatrist | 1950 Alaskan Way, Apt 526, Seattle, WA 98101-1075 | 2016-09-12 |
| 1376998179 | Hyowon Choi | Podiatrist | 2075 Barkley Blvd Ste 220, Bellingham, WA 98226 | 2016-04-28 |
| 1407210479 | Philip Matthew Woods | Podiatrist | 1812 N 13th Loop Rd # 1, Shelton, WA 98584-2169 | 2016-04-06 |
| 1063897916 | Yan Rong Cullen | Podiatrist | 13030 121st Way Ne Ste 204, Kirkland, WA 98034-3008 | 2015-07-21 |
| 1972982023 | Brittany Lynn Logan | Podiatrist | 10049 Kitsap Mall Blvd Nw Ste 109, Silverdale, WA 98383-8901 | 2015-05-21 |
| 1093194425 | Silas Klaver | Podiatrist | 1607 Creekside Loop Ste 140, Yakima, WA 98902 | 2015-05-18 |
| Find all providers with the same taxonomy | ||||
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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.