PORT TOWNSEND FOOT AND ANKLE CLINIC PS (NPI# 1982745600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982745600 |
| Entity Type | Organization |
| Organization Name | PORT TOWNSEND FOOT AND ANKLE CLINIC PS |
| Practice Address |
204 Gaines St Port Townsend WA 98368-6902 |
| Mailing Address |
Po Box 11009 Olympia WA 98508-1009 |
| Practice Telephone | 3603856486 |
| Practice Fax Number | 3603856486 |
| Mailing Telephone | 3603522037 |
| Mailing Fax Number | 3603520637 |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2009-02-19 |
| Authorized Official Name | DR. JESSICA L LUND (PRESIDENT) |
| Authorized Official Telephone | 3603856486 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
PO00000797 | WA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | LABOR & INDUSTRIES | 0216774 | 01 |
| WA | 1123595 | 05 | |
| WA | MEDICARE RR | P00371973 | 01 |
| Street Address |
204 GAINES ST |
| City | PORT TOWNSEND |
| State | WA |
| Zip Code | 98368-6902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083636393 | Steven Reiner | Podiatrist | 204 Gaines St, Port Townsend, WA 98368-6902 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730727827 | Ace It Employment & Transition Services LLC | Community/Behavioral Health | 1233 Lawrence Street, Port Townsend, WA 98368 | 2019-12-19 |
| 1942862792 | Peninsula Midwives | Midwife | 203 Pocket Lane, Port Townsend, WA 98368 | 2019-07-02 |
| 1700349461 | Kelle Gayelena Ronnfeldt | Nurse Practitioner | 844 West Park Ave, Port Townsend, WA 98368 | 2019-04-10 |
| 1841769031 | Richard Sankey Hansen | Counselor | 448 Hastings Ave, Port Townsend, WA 98368 | 2018-11-16 |
| 1255800595 | Alan P Brown | Counselor | 821 Mcpherson St, Port Townsend, WA 98368 | 2018-11-15 |
| 1699257873 | Megan E Smith | Counselor | 260 Kala Point Dr, Ste 99, Port Townsend, WA 98368 | 2018-09-04 |
| 1093297434 | Jacqueline Levin | Clinical Nurse Specialist | 234 Pond Road, Port Townsend, WA 98368 | 2018-09-02 |
| 1306335682 | Matthew D Hust | Physical Therapy Assistant | 751 Kearney Street, Port Townsend, WA 98368 | 2018-05-02 |
| 1306368238 | Michael Ozar | Psychologist | 1806 Walnut Street, Port Townsend, WA 98368 | 2017-07-12 |
| 1336674076 | Yuko Umeda | Registered Nurse | 615 Sheridan Street, Port Townsend, WA 98368 | 2017-05-01 |
| Find all providers in zip 98368 | ||||
| Taxonomy Code | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669028668 | Feet First Podiatry | Podiatrist | 4202 Summitview Avenue, Yakima, WA 98908-1240 | 2019-08-15 |
| 1306282801 | Abdulaziz Kimawi | Podiatrist | 34509 9th Ave S Ste 306, Federal Way, WA 98003-8710 | 2013-05-12 |
| 1487792966 | Michael Alan Sherwin | Podiatrist | 234 36th St, Bellingham, WA 98225-6540 | 2007-02-05 |
| 1225116445 | Samuel Liebson | Podiatrist | 1597 Deer Park Rd, Port Angeles, WA 98362-8264 | 2006-11-02 |
| 1407945348 | Lyle K Lorimer | Podiatrist | 14700 Ne 8th St Ste 200, Bellevue, WA 98007-4115 | 2006-10-11 |
| 1831297258 | Joanne M Gormley | Podiatrist | 7320 216th St Sw Ste 320b, Edmonds, WA 98026 | 2006-09-20 |
| 1275644585 | David Wayne Griffin | Podiatrist | 203 Se Park Plaza Dr Ste 140, Vancouver, WA 98684-5887 | 2006-08-31 |
| 1427077114 | Chad G Smith | Podiatrist | 205 15th Ave Sw Ste D, Puyallup, WA 98371-7873 | 2006-07-19 |
| 1942237037 | Barney Aaron Yanklowitz | Podiatrist | Vapshcs ( A-112-pod ), 6900 Veterans Dr., Sw, Lakewood, WA 98493-5000 | 2006-06-26 |
| 1790729283 | Shi-yuan Cheng | Podiatrist | 18525 101st Ave Ne, Ste. 3, Bothell, WA 98011-3452 | 2006-06-15 |
| Find all providers with the same taxonomy | ||||
| City | PORT TOWNSEND |
| Zip Code | 98368 |
Please comment or provide details below to improve the information on PORT TOWNSEND FOOT AND ANKLE CLINIC 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.