ANKLE & FOOT SPECIALIST OF PUGET SOUND, PS (NPI# 1841578705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841578705 |
| Entity Type | Organization |
| Organization Name | ANKLE & FOOT SPECIALIST OF PUGET SOUND, PS |
| Other Organization Name | ANKLE & FOOT SPECIALIST OF BONNEY LAKE |
| Practice Address |
10004 204th Ave E Ste 2700 Bonney Lake WA 98391-6535 |
| Mailing Address |
2728 E Main Ave Ste A Puyallup WA 98372-3198 |
| Practice Telephone | 2538486656 |
| Mailing Telephone | 2538412006 |
| Enumeration Date | 2011-07-26 |
| Last Update Date | 2012-03-26 |
| Authorized Official Name | CHARLES R CHU (PHYSICIAN/OWNER) |
| Authorized Official Telephone | 4254492471 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | Y |
| Parent Organization Name | ANKLE & FOOT SPECIALIST OF PUGET SOUND, PS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | PO00000277 | WA | Podiatric Medicine & Surgery Service Providers |
| Other Name | Type Code |
|---|---|
| Ankle & Foot Specialist of Bonney Lake | Doing Business As Name - Organization |
| Street Address |
10004 204TH AVE E STE 2700 |
| City | BONNEY LAKE |
| State | WA |
| Zip Code | 98391-6535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982218814 | Lenny Yann | Pharmacist | 21301 Wa 410, Bonney Lake, WA 98391 | 2020-09-08 |
| 1497244552 | Kayla Grasso | Technician, Other | 18444 139th Street East, Bonney Lake, WA 98391 | 2018-05-04 |
| 1407359151 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 9801 204th Ave E, Bonney Lake, WA 98391 | 2018-03-08 |
| 1992217152 | Rachel Renee Andringa | Massage Therapist | 19102 Wa-410, Bonney Lake, WA 98391 | 2017-10-27 |
| 1437679099 | Emily A. Hansen | Occupational Therapist | 12202 209th Ave Ct. E., Liberty Ridge Elementary School, Bonney Lake, WA 98391 | 2017-06-26 |
| 1245782986 | Advance Behavior Education Continuum, Inc | Behavioral Analyst | 2305 164th Ave Ct, Bonney Lake, WA 98391 | 2016-10-28 |
| 1619343191 | Lauren Christine Difolco | Specialist | 10920 199th Ave. Ct. E., Bonney Lake Hs, Bonney Lake, WA 98391 | 2015-08-19 |
| 1699018192 | Michael Nelson | Dentist | 2803 176th Ave East, Lake Tapps, WA 98391 | 2013-04-03 |
| 1700141066 | Jacqueline Nguyen | Pharmacist | 20025 State Route 410 E, Bonney Lake, WA 98391 | 2012-07-11 |
| 1265737860 | Braden Shingleton | Massage Therapist | 19102 Sr 410 E Suite A, Bonney Lake, WA 98391 | 2011-01-13 |
| Find all providers in zip 98391 | ||||
| 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 |
|---|---|---|---|---|
| 1750586988 | Melissa S Hong, Dpm, P.s. | Podiatrist | 18310 Hwy 410 E, Bonney Lake, WA 98391 | 2007-06-18 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | BONNEY LAKE |
| Zip Code | 98391 |
Please comment or provide details below to improve the information on ANKLE & FOOT SPECIALIST OF PUGET SOUND, PS.
| 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.