METROLIANCE FOOT AND ANKLE GROUP


Address: 2950 Northup Way, Suite #115, Bellevue, WA 98004-1406
Phone: 4258938100

METROLIANCE FOOT AND ANKLE GROUP (NPI# 1750796579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750796579
Entity Type Organization
Organization Name METROLIANCE FOOT AND ANKLE GROUP
Other Organization Name EASTSIDE PODIATRY CLINIC
Practice Address 2950 Northup Way
Suite #115
Bellevue
WA 98004-1406
Practice Telephone 4258938100
Practice Fax Number 4258938111
Mailing Telephone 4258938100
Mailing Fax Number 4258938111
Enumeration Date 2014-07-01
Last Update Date 2015-09-28
Authorized Official Name DR. TAESOON PARK (MANAGER/OWNER)
Authorized Official Telephone 2067074747
Authorized Official Credential DPM
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213ES0103X Podiatrist
Specialization: Foot & Ankle Surgery
PO 60234756 WA Podiatric Medicine & Surgery Service Providers

Other Provider/Organization Names

Other Name Type Code
Eastside Podiatry Clinic Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1740408293 Metroliance Foot and Ankle Group Clinic/Center 2950 Northup Way, Suite 115, Bellevue, WA 98004-1406 2007-04-22

Office Location

Street Address 2950 NORTHUP WAY
SUITE #115
City BELLEVUE
State WA
Zip Code 98004-1406

Providers in the same location

NPI Name Taxonomy Address Enumeration
1760446611 Glen A. Curda Podiatrist 2950 Northup Way, Suite 115, Bellevue, WA 98004-1406 2006-04-16
1972712644 Sepehr Egrari Surgery 2950 Northup Way, Suite 100, Bellevue, WA 98004 2007-05-21
1740408293 Metroliance Foot and Ankle Group Clinic/Center 2950 Northup Way, Suite 115, Bellevue, WA 98004-1406 2007-04-22
1518025618 Eastside Premier Medicine Pllc Internal Medicine 2950 Northup Way, Suite 210, Bellevue, WA 98004-1406 2006-12-04

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1669989216 Atsuko Nakajima Acupuncturist 2223 112th Ave. Ne, Ste 201, Bellevue, WA 98004 2018-01-04
1740794718 Radka Chapin Counseling, LLC Clinic/Center 1611 116th Ave Ne Ste 119, Bellevue, WA 98004 2017-11-28
1962912105 Cuyler Ann Simmons Counselor 3805 108th Ave Ne Ste 204, Bellevue, WA 98004 2017-10-02
1639690357 Nicolas Lopez-montalvo Behavioral Analyst 3003 Northup Way Suite 200, Bellevue, WA 98004 2017-07-03
1124579537 Matthew Thomas Haley Pharmacist 107 Bellevue Way, Se, Bellevue, WA 98004 2016-10-20
1649727348 Kelsey Tanaka Nurse Practitioner 400- 108th Ave Ne, Suite 100, Bellevue, WA 98004 2016-09-10
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Taxonomy Information

Taxonomy Code 213ES0103X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist
Specialization Foot & Ankle Surgery

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174058630 Lance Jon Johnson Podiatrist 1400 W Main St Bldg 1, Suite A, Bellevue, OH 44811-9429 2017-04-21
1528226263 Tae Soon Park Podiatrist 2950 Northup Way Ste 115, Bellevue, WA 98004-1406 2008-05-29
1558559773 Toshifumi J Saigo Podiatrist 14575 Bel Red Rd # C102, Bellevue, WA 98007-3908 2007-10-12
1760446611 Glen A. Curda Podiatrist 2950 Northup Way, Suite 115, Bellevue, WA 98004-1406 2006-04-16
1871014936 Paul Leatham Podiatrist 1400 W Main St Bldg 1, Suite A, Bellevue, OH 44811-9429 2017-06-29
1902280431 Khanh Le Podiatrist 1609 116th Ave Ne, Bellevue, WA 98004-3024 2015-07-14
1861831992 Northern Ohio Foot and Ankle Specialists, LLC Podiatrist 1400 W Main St, Bellevue, OH 44811-9088 2013-06-21
1013215342 Bellevue Podiatry Inc. Podiatrist 1370 116th Ave Ne, Ste. 206, Bellevue, WA 98004-3825 2011-03-10
1598094807 Summy Foot and Ankle, PC Podiatrist 2705 Samson Way, Bellevue, NE 68123-4307 2009-12-15
1760661334 Puget Sound Specialty Physicians Pllc Podiatrist 4140 Factoria Blvd Se, Suite 1b, Bellevue, WA 98006-5261 2007-10-30
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Competitor

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City BELLEVUE
Zip Code 98004

Improve Information

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Dataset Information

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.

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