EAST HILL FOOT AND ANKLE CLINIC (NPI# 1063691012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063691012 |
| Entity Type | Organization |
| Organization Name | EAST HILL FOOT AND ANKLE CLINIC |
| Practice Address |
24837 104th Ave Se 101 Kent WA 98030-6800 |
| Practice Telephone | 2538591112 |
| Practice Fax Number | 2538591190 |
| Mailing Telephone | 2538591112 |
| Mailing Fax Number | 2538591190 |
| Enumeration Date | 2007-10-26 |
| Last Update Date | 2013-03-08 |
| Authorized Official Name | JOSEPH NG (OWNER) |
| Authorized Official Telephone | 2538591112 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
C600586258 | WA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | MOLINA HEALTHCARE | QMXPR0043826 | 01 |
| WA | 7004971 | 05 |
| Street Address |
24837 104TH AVE SE 101 |
| City | KENT |
| State | WA |
| Zip Code | 98030-6800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407992787 | Children's Dental Care | Dentist | 24837 104th Ave Se, Ste 200, Kent, WA 98030-6800 | 2007-01-30 |
| 1043757453 | Jeremy Edward Hyde | Massage Therapist | 24837 104th Ave Se, Ste 100, Kent, WA 98030-6800 | 2017-01-23 |
| 1700297967 | Eastridge Family Dental | Dentist | 24837 104th Ave Se, 103, Kent, WA 98030-6800 | 2014-05-09 |
| 1851523336 | Clarissa Asenath Livingston | Massage Therapist | 24837 104th Ave Se, Suite 100, Kent, WA 98030-6800 | 2009-08-17 |
| 1790948214 | Stephanie Pollock, Inc. | Chiropractor | 24837 104th Ave Se, Suite 100, Kent, WA 98030-6800 | 2008-07-03 |
| 1356461370 | Donna Manzo | Massage Therapist | 24837 104th Ave Se, Suite 100, Kent, WA 98030-6800 | 2007-03-31 |
| 1912027087 | Melody Ann Mcdonald | Massage Therapist | 24837 104th Ave Se, Suite 100, Kent, WA 98030-6800 | 2007-03-30 |
| 1013049345 | Stephanie Louise Greenreich | Chiropractor | 24837 104th Ave Se, Suite 100, Kent, WA 98030-6800 | 2007-03-12 |
| 1780720177 | Brian J Bussard | Chiropractor | 24837 104th Ave Se, Suite 100, Kent, WA 98030-6800 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871193193 | Sarah V Swan | Occupational Therapist | 12033 Se 265th St, Kent, WA 98030 | 2020-10-27 |
| 1346889250 | Kaylee Meilahn | Nurse Practitioner | 219 State Ave. N, Suite 220, Kent, WA 98030 | 2019-12-26 |
| 1508417429 | Pamela Stefansky | Technician | 25927 119th Ct Se, Kent, WA 98030 | 2019-09-23 |
| 1144703885 | Healthpoint | Clinic/Center | 219 State Ave N, Ste 100, Kent, WA 98030 | 2018-09-10 |
| 1932681921 | Johana Sanchez-vidales | Massage Therapist | 24837 104th Ave Se #100, Kent, WA 98030 | 2018-09-05 |
| 1265925309 | Linda Tomkins | Chiropractor | 12901 Se Kent-kangley Rd, Kent, WA 98030 | 2018-06-13 |
| 1952809543 | Sarah Rose Collins | Massage Therapist | 13003 Se Kent Kangley Rd Ste 110, Kent, WA 98030 | 2018-01-29 |
| 1942726815 | Alexandra B Zigmont | Physical Therapist | 12926 Se Kent Kangley Road, Kent, WA 98030 | 2017-08-22 |
| 1659801256 | Mitra Lal Dhital | Counselor | 3639 Mlk Jr Way S Seattle, Seattle, WA 98030 | 2017-06-15 |
| 1952838658 | Elizabeth Burson | Registered Nurse | 25742 104th Avenue Se, Kent, WA 98030 | 2017-05-12 |
| Find all providers in zip 98030 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144630138 | Hanya Almudallal | Podiatrist | 1930 Oh-59, Kent, OH 44240 | 2014-04-30 |
| 1194154104 | Jeffrey Fesler | Podiatrist | 1930 State Route 59 Ste D, Kent, OH 44240-4112 | 2013-11-11 |
| 1982647582 | Windy Elaine Cole | Podiatrist | 1533 S Water St, Kent, OH 44240-4471 | 2006-06-13 |
| 1932178993 | Andrew Singtiong Soo | Podiatrist | 26136 Pacific Hwy S, Kent, WA 98032 | 2006-03-14 |
| 1831648161 | Family Foot Care Center LLC | Podiatrist | 1627 E Main St, Kent, OH 44240-2875 | 2016-09-28 |
| 1396106613 | United Podiatry Inc | Podiatrist | 1930 State Route 59 Ste D, Kent, OH 44240-4112 | 2016-03-14 |
| 1477959773 | Ohio Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 1627 E Main St, Kent, OH 44240-2875 | 2014-11-13 |
| 1336570480 | Rodney Scott | Podiatrist | 1930 State Route 59, Ste D, Kent, OH 44240-4112 | 2013-11-27 |
| 1831402841 | John Kittrell Clyde | Podiatrist | 24920 104th Ave Se, Kent, WA 98030-6443 | 2010-07-19 |
| 1902005937 | Heather L Salton | Podiatrist | 24920 104th Ave Se, Kent, WA 98030-6443 | 2007-07-11 |
| Find all providers in KENT | ||||
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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.