PACIFIC FOOTWEAR COMPANY INC (NPI# 1831353200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831353200 |
| Entity Type | Organization |
| Organization Name | PACIFIC FOOTWEAR COMPANY INC |
| Other Organization Name | PRIORITY FOOTWEAR & PEDORTHIC SERVICES |
| Practice Address |
2150 N 107th St Suite 204 Seattle WA 98133-1305 |
| Mailing Address |
10240 Sw Nimbus Ave Suite L1 Portland OR 97223-4358 |
| Practice Telephone | 2069577772 |
| Practice Fax Number | 2069576021 |
| Mailing Telephone | 5035249656 |
| Mailing Fax Number | 5035248397 |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2015-09-21 |
| Authorized Official Name | DAVID REIMANN (PRESIDENT) |
| Authorized Official Telephone | 2069577772 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 9054784 | 05 |
| Other Name | Type Code |
|---|---|
| Priority Footwear & Pedorthic Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841581717 | Pacific Footwear Company Inc | Prosthetic/Orthotic Supplier | 1150 Knutson Ave, Suite 12, Medford, OR 97504-3100 | 2011-04-27 |
| 1871733683 | Pacific Footwear Company Inc | Prosthetic/Orthotic Supplier | 1010 N Normandie St, Ste 301, Spokane, WA 99201-2270 | 2009-03-06 |
| 1558316851 | Pacific Footwear Company Inc | Durable Medical Equipment & Medical Supplies | 10240 Sw Nimbus Ave, Suite L1, Portland, OR 97223-4358 | 2006-05-24 |
| Street Address |
2150 N 107TH ST SUITE 204 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98133-1305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295761328 | Sarvesh Smiley Thakur | Internal Medicine | 2150 N 107th St, Suite 520, Seattle, WA 98133-1305 | 2006-06-23 |
| 1568881944 | Heather Buckle | Naturopath | 2150 N 107th St, Ste 400, Seattle, WA 98133-1305 | 2014-04-14 |
| 1174949762 | Trilisa Madison | Naturopath | 2150 N 107th St, Suite 400, Seattle, WA 98133-1305 | 2014-03-06 |
| 1104173038 | Dr. Paul S. Anderson, PC | Non-Pharmacy Dispensing Site | 2150 N 107th St, Suite 400, Seattle, WA 98133-1305 | 2012-08-09 |
| 1548582281 | Erica Anne Shutes | Counselor | 2150 N 107th St, Suite 220, Seattle, WA 98133-1305 | 2010-02-23 |
| 1609102706 | Northstar Surgical Services, Pllc | Plastic Surgery | 2150 N 107th St, Suite 520, Seattle, WA 98133-1305 | 2009-10-23 |
| 1891991956 | Transplant and Nephrology Northwest Pllc | Internal Medicine | 2150 N 107th St, Suite 520, Seattle, WA 98133-1305 | 2007-06-25 |
| 1598983413 | Deborah L Hill | Clinical Neuropsychologist | 2150 N 107th St, Suite 345, Northway East Building, Seattle, WA 98133-1305 | 2007-04-23 |
| 1265650972 | Child Psychology Northwest, P.s. | Clinical Neuropsychologist | 2150 N 107th St, Suite 345, Northway East Building, Seattle, WA 98133-1305 | 2007-04-20 |
| 1740355692 | Recovery Options Northwest, Inc | Counselor | 2150 N 107th St, Suite 200, Seattle, WA 98133-1305 | 2006-11-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891339388 | Marni Lynn Hanig | Occupational Therapist | 1900 N 170th St., Shoreline, WA 98133 | 2019-10-29 |
| 1871074807 | Minju Kim | Counselor | 14332 Burke Ave N, Seattle, WA 98133 | 2018-08-27 |
| 1821582941 | Hana Alema Misgina | Registered Nurse | 927 N 199th St, Shoreline, WA 98133 | 2018-06-21 |
| 1588177729 | Julie Benefiel | Pharmacist | 1536 N 115th St. Suite 100, Seattle, WA 98133 | 2017-11-09 |
| 1730607953 | Aurora Oaks, LLC | Skilled Nursing Facility | 16357 Aurora Avenue North, Shoreline, WA 98133 | 2017-09-08 |
| 1750801072 | Zoe Ana Cavnar-lewandowski | Counselor | 10700 Meridian Avenue N, Suite G-11, Seattle, WA 98133 | 2017-06-27 |
| 1851820211 | Adam Lee Gardner Sr. | Acupuncturist | 925 N 163rd Street, Unit B, Shoreline, WA 98133 | 2017-06-08 |
| 1376085209 | Pamela Ashby | Counselor | 2111 N. Northgateway, 212, Seattle, WA 98133 | 2016-11-09 |
| 1225584956 | General Dentistry | Dentist | 20109 Aurora Ave N, Ste D, Shoreline, WA 98133 | 2016-09-01 |
| 1144672668 | Aaron Neubauer | Behavioral Analyst | 13407 Greenwood Ave N, 216c, Seattle, WA 98133 | 2016-07-08 |
| Find all providers in zip 98133 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316476575 | Derek Youngberg | Durable Medical Equipment & Medical Supplies | 3100 Airport Way S Unit 85, Seattle, WA 98134-2133 | 2017-06-09 |
| 1417481797 | Washington Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4313 University Way Ne, Seattle, WA 98105 | 2017-04-13 |
| 1083155329 | Seatle Medical Supplies | Durable Medical Equipment & Medical Supplies | 800 Fifth Avenue, Seafirst Fifth Avenue Plaza, Suite 4100, Seattle, WA 98104 | 2017-03-20 |
| 1902347875 | Washington Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2438 32nd Ave W, Seattle, WA 98199-3202 | 2017-03-13 |
| 1952847717 | Washington Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2035 4th Ave, Seattle, WA 98121-2414 | 2017-01-17 |
| 1073062600 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3639 Martin Luther King Jr Way S Ste P1, Seattle, WA 98144-6847 | 2016-09-23 |
| 1710334552 | Emeka Titus Okoye | Durable Medical Equipment & Medical Supplies | 4529 S. Henderson Street, #7, Seattle, WA 98118 | 2016-05-23 |
| 1437511151 | Medsheet Ltd | Durable Medical Equipment & Medical Supplies | 3225 44th Ave Sw, Seattle, WA 98116-3324 | 2016-03-22 |
| 1891173985 | Washington Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2100 N 45th St, Seattle, WA 98103-6902 | 2015-05-11 |
| 1467855346 | Kp Pharmacy & Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 7101 Martin Luther King Jr Way S Ste 101b, Seattle, WA 98118-3591 | 2014-10-06 |
| Find all providers in SEATTLE | ||||
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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.