MR. DOUGLAS J ICHIKAWA (NPI# 1124099601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124099601 |
| Entity Type | Individual |
| Full Name | MR. DOUGLAS J ICHIKAWA |
| Credential | DPM |
| Practice Address |
1609 116th Ave Ne Bellevue WA 98004-3024 |
| Practice Telephone | 4252835093 |
| Practice Fax Number | 4252835095 |
| Mailing Telephone | 4252835093 |
| Mailing Fax Number | 4252835095 |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2012-12-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | PO00000422 | WA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | L&I | 0231400 | 01 |
| WA | 1124099601 | 05 |
| Street Address |
1609 116TH AVE NE |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98004-3024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811984248 | Suzanne M Wilson | Podiatrist | 1609 116th Ave Ne, Bellevue, WA 98004 | 2005-09-30 |
| 1902280431 | Khanh Le | Podiatrist | 1609 116th Ave Ne, Bellevue, WA 98004-3024 | 2015-07-14 |
| 1467555888 | Bellevue Podiatric Physicians Pllc | Podiatrist | 1609 116th Ave Ne, Bellevue, WA 98004 | 2006-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306458328 | Geneva Paula Hoskins-dorsey | Nurse Practitioner | 11120 Ne 33rd Place, Suite 202, Bellevue, WA 98004 | 2020-08-20 |
| 1720553613 | Christine Eyler | Pediatrics | Bellevue Pediatrics, C & C Medical Associates, 1940 116th Ave Ne, Ste 200, Bellevue, WA 98004 | 2018-10-08 |
| 1437634730 | Hazelden Betty Ford Foundation | Clinic/Center | 1231 116th Ave. Ne Suite 410, Bellevue, WA 98004 | 2018-10-02 |
| 1356827828 | Seattle Spine Group, Pllc | Orthopaedic Surgery | 1220 116th Ave Ne Ste 102, Bellevue, WA 98004 | 2018-07-17 |
| 1669989216 | Atsuko Nakajima | Acupuncturist | 2223 112th Ave. Ne, Ste 201, Bellevue, WA 98004 | 2018-01-04 |
| 1740794718 | Radka Chapin Counseling, LLC | Clinic/Center | 1611 116th Ave Ne Ste 119, Bellevue, WA 98004 | 2017-11-28 |
| 1962912105 | Cuyler Ann Simmons | Counselor | 3805 108th Ave Ne Ste 204, Bellevue, WA 98004 | 2017-10-02 |
| 1639690357 | Nicolas Lopez-montalvo | Behavioral Analyst | 3003 Northup Way Suite 200, Bellevue, WA 98004 | 2017-07-03 |
| 1124579537 | Matthew Thomas Haley | Pharmacist | 107 Bellevue Way, Se, Bellevue, WA 98004 | 2016-10-20 |
| 1649727348 | Kelsey Tanaka | Nurse Practitioner | 400- 108th Ave Ne, Suite 100, Bellevue, WA 98004 | 2016-09-10 |
| Find all providers in zip 98004 | ||||
| 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 |
|---|---|---|---|---|
| 1932507191 | & Foot Specialists of Puget Sound, Ps | Podiatrist | 4140 Factoria Blvd Se Suite 1b, Bellevue, WA 98006 | 2014-12-19 |
| 1093952616 | Hubert W Lee | Podiatrist | 12737 Bel-red Rd, Suite 200, Bellevue, WA 98005-2608 | 2009-01-20 |
| 1699763938 | Donald Eugene Buddecke Jr. | Podiatrist | 2705 Samson Way, Bellevue, NE 68123-4307 | 2005-10-11 |
| 1811984248 | Suzanne M Wilson | Podiatrist | 1609 116th Ave Ne, Bellevue, WA 98004 | 2005-09-30 |
| 1073955944 | Careplus Foot and Ankle Specialists, LLC | Podiatrist | 12737 Bel Red Rd, Suite 200, Bellevue, WA 98005-2699 | 2013-07-21 |
| 1427348838 | Nebraska Lower Extremity Surgery Group, LLC | Podiatrist | 2705 Samson Way, Bellevue, NE 68123-4307 | 2011-04-19 |
| 1376763433 | Advanced Family Medicine | Podiatrist | 1940 116th Ave Ne, Suite 200, Bellevue, WA 98004-3097 | 2007-04-30 |
| 1467677906 | Toshifumi J Saigo Dpm Inc Ps | Podiatrist | 14575 Bel Red Rd, #c102, Bellevue, WA 98007-3908 | 2007-04-17 |
| 1124162235 | Professional Recreation Organization, Inc. | Podiatrist | 4455 148th Ave Ne, Bellevue, WA 98007-3120 | 2007-02-20 |
| 1952480899 | Podiatric Physicians and Surgeons P.s. | Podiatrist | 11711 Ne 12th St, Suite 1b, Bellevue, WA 98005 | 2006-11-02 |
| Find all providers in BELLEVUE | ||||
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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.