H GARY CORLESS (NPI# 1609954015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609954015 |
| Entity Type | Individual |
| Full Name | H GARY CORLESS |
| Credential | DPM |
| Practice Address |
7315 212th St Sw #103 Edmonds WA 98026 |
| Mailing Address |
Po Box 11009 Olympia WA 98508-1009 |
| Practice Telephone | 4257756996 |
| Practice Fax Number | 4256708905 |
| Mailing Telephone | 4257756996 |
| Mailing Fax Number | 4256708905 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2008-01-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | PO00000139 | WA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| L AND I | 0164994 | 01 | |
| WA | 1183409 | 05 | |
| WA | REGENCE RIDER | 5182CO | 01 |
| WA | MEDICAID/DMERC | 9050600 | 01 |
| Street Address |
7315 212TH ST SW #103 |
| City | EDMONDS |
| State | WA |
| Zip Code | 98026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124014857 | Robert E Cox | Specialist | 7315 212th St Sw, Suite 208, Edmonds, WA 98026-7610 | 2005-09-27 |
| 1174042816 | Mandy Merrick | Physician Assistant | 7315 212th St Sw, Edmonds, WA 98026-7610 | 2017-09-13 |
| 1144760497 | Morgan M. Cooley | Physician Assistant | 7315 212th St Sw, Suite 201, Edmonds, WA 98026-7610 | 2017-03-06 |
| 1215485651 | Liliana Bogin | Nurse Practitioner | 7315 212th St Sw, Ste 101, Edmonds, WA 98026-7610 | 2016-09-14 |
| 1902253172 | Rodrigo Landeros | Physician Assistant | 7315 212th St Sw, Suite 201, Edmonds, WA 98026-7610 | 2016-05-18 |
| 1700232964 | Integrated Rehabilitation Group PC | Physical Therapist | 7315 212th St Sw, Suite 104, Edmonds, WA 98026-7610 | 2016-05-06 |
| 1598110363 | John Nguyen | Acupuncturist | 7315 212th St Sw, #202, Edmonds, WA 98026-7610 | 2016-04-29 |
| 1720450869 | Michael Lai | Nurse Practitioner | 7315 212th St Sw, Suite 101, Edmonds, WA 98026-7610 | 2015-10-28 |
| 1679971543 | Daryll G. Marshall-inman Dc Inc | Chiropractor | 7315 212th St Sw, #202, Edmonds, WA 98026-7610 | 2014-12-09 |
| 1255736104 | Edmonds Family Medicine Clinic Ps | Obstetrics & Gynecology | 7315 212th St Sw, Suite 101, Edmonds, WA 98026-7610 | 2014-11-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833526 | Enas Hamid Albar | Student in an Organized Health Care Education/Training Program | 7500 212th Street S.w., Suite 205, Edmonds, WA 98026 | 2020-08-26 |
| 1215579453 | Kailey Anne Matulich | Technician | 21630 84th Ave W, Edmonds, WA 98026 | 2019-10-09 |
| 1154962124 | Steven M Weible | Technician | 21630 84th Ave, Edmonds, WA 98026 | 2019-10-01 |
| 1053767293 | Hyo Kyung Kim | Pharmacist | 22618 Hwy 99 Ste 109, Edmonds, WA 98026 | 2016-05-06 |
| 1679947956 | Lucilyn Lumio | Occupational Therapist | 21008 76th Avenue W, Edmonds, WA 98026 | 2015-11-24 |
| 1669844205 | Kathleen Schmitt | Pharmacist | 21601 76th Ave West, Edmonds, WA 98026 | 2015-10-22 |
| 1689087967 | Ronald Paul Meagher | Anesthesiology | 7305 173rd St Sw, Edmonds, WA 98026 | 2014-06-04 |
| 1598194342 | Allison Alberton | Surgery | 7315 212th St Sw Ste 201, Edmonds, WA 98026 | 2013-11-02 |
| 1356681019 | Tekle Zewolday Eysadik | Registered Nurse | 8102 - 226 St Sw, Edmonds, WA 98026 | 2013-02-18 |
| 1447557087 | Diane Taylor | Counselor | 20903 70th Ave W., Edmonds, WA 98026 | 2011-02-17 |
| Find all providers in zip 98026 | ||||
| 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 |
|---|---|---|---|---|
| 1962531764 | Stevens Foot & Ankle LLP | Podiatrist | 7315 212th St Sw Ste 103, Edmonds, WA 98026-7610 | 2007-03-05 |
| 1447324330 | Mark A Kuzel | Podiatrist | 21229 84th Ave W, Edmonds, WA 98026-7304 | 2006-11-20 |
| 1073691473 | Erin M Orourke | Podiatrist | 7320 216th St Sw Ste 320b, Edmonds, WA 98026-8006 | 2006-11-02 |
| 1386744324 | Rex Z Nilson | Podiatrist | 7320 216th St Sw Ste 320b, Edmonds, WA 98026 | 2006-09-22 |
| 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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| 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.