FOOTHILLS INTERNAL MEDICINE PLLC (NPI# 1235443334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235443334 |
Entity Type | Organization |
Organization Name | FOOTHILLS INTERNAL MEDICINE PLLC |
Practice Address |
2820 Griffin Ave Suite 204 Enumclaw WA 98022-2373 |
Practice Telephone | 3608258900 |
Mailing Telephone | 3608258900 |
Enumeration Date | 2010-07-30 |
Last Update Date | 2010-07-30 |
Authorized Official Name | JANE MARIE HOUTZ (OWNER) |
Authorized Official Telephone | 3608258900 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
603032697 | WA | Ambulatory Health Care Facilities |
Entity Type | Entity Name | Entity Address |
---|---|---|
Washington State Corporations | FOOTHILLS INTERNAL MEDICINE PLLC | 2820 Griffin Ave Ste 204, Enumclaw, WA 98022-2373 |
Street Address |
2820 GRIFFIN AVE SUITE 204 |
City | ENUMCLAW |
State | WA |
Zip Code | 98022-2373 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932156015 | Susan D. Louie | Occupational Therapist | 2820 Griffin Ave, Suite 110, Enumclaw, WA 98022-2373 | 2006-05-27 |
1235483579 | Franciscan Medical Group | Orthopaedic Surgery | 2820 Griffin Ave, #210, Enumclaw, WA 98022-2373 | 2012-11-08 |
1164720462 | Ankle & Foot Specialists of Puget Sound, Ps | Podiatrist | 2820 Griffin Ave, Suite 101, Enumclaw, WA 98022-2373 | 2011-03-10 |
1710214473 | Kari Schamel | Massage Therapist | 2820 Griffin Ave, Suite 204, Enumclaw, WA 98022-2373 | 2009-11-17 |
1770766271 | Puget Sound Specialty Physicians Pllc | Podiatrist | 2820 Griffin Ave, Suite 101, Enumclaw, WA 98022-2373 | 2007-12-07 |
1992901151 | Puget Sound Specialty Physicians, Pllc | Specialist | 2820 Griffin Ave, Suite 100, Enumclaw, WA 98022-2373 | 2007-06-25 |
1265574909 | Rebekah Ruth Scribner | Pharmacist | 2820 Griffin Ave, #102, Enumclaw, WA 98022-2373 | 2007-02-12 |
1649368341 | Surgery Center Enumclaw | Clinic/Center | 2820 Griffin Ave, Suite 100, Enumclaw, WA 98022-2373 | 2006-10-10 |
1649285198 | Jane M Houtz | Internal Medicine | 2820 Griffin Ave, Suite 204, Enumclaw, WA 98022-2373 | 2006-07-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558993725 | Megan's Massage and Esthetics LLC | Massage Therapist | 709 Griffin Ave, Enumclaw, WA 98022 | 2020-02-06 |
1154883494 | Nicola Given | Registered Nurse | 1818 Cole Street, Enumclaw, WA 98022 | 2019-04-04 |
1770099988 | Christopher P Koontz, Dds, Ps | Dentist | 2617 Griffin Ave, Enumclaw, WA 98022 | 2017-12-26 |
1487050977 | Hunter Chlebowski | Massage Therapist | 1453 Chinook Ave., Enumclaw, WA 98022 | 2014-11-10 |
1194156257 | James Kraft Symonds | Family Medicine | 1605 Washington Ave, Enumclaw, WA 98022 | 2013-11-27 |
1508209420 | Terri Lynn Kilbourne | Specialist | 1710 Railroad Street, Enumclaw Day Spa, Enumclaw, WA 98022 | 2013-04-10 |
1679824783 | Cortney Lauren Adams | Massage Therapist | 1156 Griffin Ave, Suite 209, Enumclaw, WA 98022 | 2012-09-28 |
1477828226 | Chella Bear Plastiras | Speech-Language Pathologist | 275 Peterson Drive East, Enumclaw, WA 98022 | 2012-03-13 |
1003186693 | Travis David Burt | Specialist | 1838 Porter St, Enumclaw, WA 98022 | 2012-01-12 |
1740590884 | Justin Andrew Bergstrom | Chiropractor | 2627 Griffin Ave., Enumclaw, WA 98022 | 2010-10-07 |
Find all providers in zip 98022 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598155129 | Tanya Wilke Family Medicine | Clinic/Center | 1427 Jefferson Ave, Suite 202, Enumclaw, WA 98022-3649 | 2015-02-04 |
1437223765 | Michael Tepper Md Ps | Clinic/Center | 1427 Jefferson Ave, Suite102, Enumclaw, WA 98022-3649 | 2006-11-20 |
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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.