TIMOTHY S GRACE (NPI# 1891705935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891705935 |
| Entity Type | Individual |
| Full Name | TIMOTHY S GRACE |
| Credential | DPM |
| Practice Address |
11212 Sunrise Blvd E # 203 Puyallup WA 98374-8847 |
| Practice Telephone | 2538414262 |
| Practice Fax Number | 2538417112 |
| Mailing Telephone | 2538414262 |
| Mailing Fax Number | 2538417112 |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2012-05-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
P00000441 | WA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 7080799 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235320391 | Timothy Martin Grace | Student in an Organized Health Care Education/Training Program | 1721 Westwind Dr, Bakersfield, CA 93301-3026 | 2007-08-05 |
| 1215047584 | Timothy M Grace | Physician Assistant | 300 Main St, Lewiston, ME 04240-7027 | 2006-08-30 |
| 1851361752 | Timothy J Grace | Optometrist | 548 W 3rd St, Jamestown, NY 14701-4733 | 2006-01-24 |
| Street Address |
11212 SUNRISE BLVD E # 203 |
| City | PUYALLUP |
| State | WA |
| Zip Code | 98374-8847 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720068067 | Jason Dean Brayley | Family Medicine | 11212 Sunrise Blvd E, Ste 201, Puyallup, WA 98374-8847 | 2006-01-20 |
| 1215181482 | Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance | Clinic/Center | 11212 Sunrise Blvd E, #200, Puyallup, WA 98374-8847 | 2008-11-13 |
| 1790963866 | Northwest Foot and Ankle Center, Ps | Podiatrist | 11212 Sunrise Blvd E, Suite 203, Puyallup, WA 98374-8847 | 2008-01-31 |
| 1811177975 | Family Foot Health Center Inc. | Podiatrist | 11212 Sunrise Blvd E, # 203, Puyallup, WA 98374-8847 | 2007-11-06 |
| 1588788731 | Medical Imaging Northwest, LLP | Radiology | 11212 Sunrise Blvd E, Suite 200, Puyallup, WA 98374-8847 | 2007-03-16 |
| 1316079254 | John Hung, Md, Pllc | Orthopaedic Surgery | 11212 Sunrise Blvd E, Suite 201, Puyallup, WA 98374-8847 | 2007-03-09 |
| 1043371909 | Ryan Riel | Orthopaedic Surgery | 11212 Sunrise Blvd E, #201, Puyallup, WA 98374-8847 | 2006-12-13 |
| 1548201163 | Daniel C Ene Stroescu | Internal Medicine | 11212 Sunrise Blvd E, Suite 201, Puyallup, WA 98374-8847 | 2006-06-08 |
| 1386683795 | Physiotherapy Associates Inc | Clinic/Center | 11212 Sunrise Blvd E, Suite 202, Puyallup, WA 98374-8847 | 2006-06-05 |
| 1134176340 | Theresa K Martin | Physician Assistant | 11212 Sunrise Blvd E, #201, Puyallup, WA 98374-8847 | 2006-05-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073173977 | Courtney Yant | Registered Nurse | 300 3rd St Se, Puyallup, WA 98374 | 2019-06-13 |
| 1013480508 | Tracy Pina | Massage Therapist | 16909 123rd Ave E, Puyallup, WA 98374 | 2019-01-07 |
| 1922524917 | Edith M Wood | Registered Nurse | 13517 152nd St Ct E, Puyallup, WA 98374 | 2017-08-21 |
| 1669875993 | Jillian C S Longway | Registered Nurse | 11102 Sunrise Blvd E Ste 103, Puyallup, WA 98374 | 2014-10-01 |
| 1427302025 | Nadeem Jaffer | Internal Medicine | 3800 3rd St. Se, Puyallup, WA 98374 | 2012-11-04 |
| 1851605356 | Madigan Army Medical Ctr | Clinic/Center | 15600 Meridan Ave, Sunrise Village Center, East Puyallup, WA 98374 | 2010-07-27 |
| 1326368135 | Matt Karl Jahns | Massage Therapist | 2402 20th St Se, Puyallup, WA 98374 | 2010-06-03 |
| 1982833208 | Roxy Sturgeon | Speech-Language Pathologist | 2309 43rd Ave Se, Puyallup, WA 98374 | 2009-07-08 |
| 1497921191 | Morgan Counseling Services Inc. | Substance Abuse Rehabilitation Facility | 10312 120th Street East, Suite #3, Puyallup, WA 98374 | 2008-05-02 |
| 1700055795 | Walter Royal Patterson Jr. | Registered Nurse | 11102 Sunrise Blvd. E., Ste. 103, Woodcreek Healthcare, Puyallup, WA 98374 | 2008-02-25 |
| Find all providers in zip 98374 | ||||
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568673895 | Victoria Kovacs Penfield | Podiatrist | 15717 136th Avenue Ct E, Puyallup, WA 98374-9688 | 2007-05-25 |
| 1649561168 | Ankle & Foot Specialists of Puget Sound, Ps | Podiatrist | 3908 10th St Se, Puyallup, WA 98374-2188 | 2011-05-02 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649708819 | Theresa H.t. Nguyen Pllc | Podiatrist | 17530 Ne Union Hill Rd Ste 110, Redmond, WA 98052-3340 | 2017-05-31 |
| 1366749095 | Rapha Clinics, Inc | Podiatrist | 1130 N 185th St Ste 202, Shoreline, WA 98133-4011 | 2011-02-15 |
| 1922122811 | Randall S. Fisher | Podiatrist | 8610 Eastview Ave, Everett, WA 98208-3516 | 2007-03-18 |
| 1689732588 | Hugh James Gorey Jr. | Podiatrist | 12001 Pacific Ave S., #204, Tacoma, WA 98444-5101 | 2006-12-04 |
| 1134154032 | Stephen Haggard | Podiatrist | 210 27th Ave Apt F105, Milton, WA 98354-8330 | 2006-07-11 |
| 1265470678 | Broadway Foot & Ankle Ps | Podiatrist | 6625 W Crest View Loop Se, Snoqualmie, WA 98065-8912 | 2006-06-04 |
| 1063493559 | Randolph Charles Fish | Podiatrist | 915 So. 76th St., Tacoma, WA 98408-2902 | 2005-11-10 |
| 1982694501 | Michael Aziz Mishalanie | Podiatrist | 401 S 43rd St, Suite 110, Renton, WA 98055-5404 | 2005-10-25 |
| 1942206891 | Brent Barker | Podiatrist | 18007 Ne 26th St, Vancouver, WA 98684-0735 | 2005-06-24 |
| 1720083652 | John Yohan Joo | Podiatrist | 1130 N 185th St, Suite 200, Shoreline, WA 98133-4011 | 2005-06-16 |
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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.