ANKLE & FOOT CLINIC, PS (NPI# 1285823005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285823005 |
| Entity Type | Organization |
| Organization Name | ANKLE & FOOT CLINIC, PS |
| Practice Address |
416 Ne 87th Ave Ste #2 Vancouver WA 98664-1930 |
| Practice Telephone | 3602561777 |
| Practice Fax Number | 3606964287 |
| Mailing Telephone | 3602561777 |
| Mailing Fax Number | 3606964287 |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2008-01-17 |
| Authorized Official Name | DENICE L NOLAN (OFFICE MANAGER) |
| Authorized Official Telephone | 3602561777 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | PO00000402 | WA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 7113566 | 05 |
| Street Address |
416 NE 87TH AVE STE #2 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98664-1930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669408118 | Joseph H Leas | Podiatrist | 416 Ne 87th Ave, Ste #2, Vancouver, WA 98664-1930 | 2006-06-25 |
| 1619336518 | Lee Family Dental | Dentist | 416 Ne 87th Ave, Suite 3, Vancouver, WA 98664-1930 | 2016-02-19 |
| 1497770812 | Alina L Palmer | Advanced Practice Midwife | 416 Ne 87th Ave, Suite 1, Vancouver, WA 98664-1930 | 2006-07-13 |
| 1245255660 | Betsy C Smith | Advanced Practice Midwife | 416 Ne 87th Ave, Suite 1, Vancouver, WA 98664-1930 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285249938 | Angelica Maria Parle-fresquez | Speech-Language Pathologist | Early Childhood Assessment Center - Lieser School, 301 S. Lieser Rd, Vancouver, WA 98664 | 2020-09-10 |
| 1467923441 | Elizabeth Steen | Counselor | 230 E. State St., Mossyrock, WA 98664 | 2018-12-17 |
| 1497241657 | Chelsey Nicole Parker | Peer Specialist | 9815 Ne 3rd St, Vancouver, WA 98664 | 2018-07-10 |
| 1881145431 | Brent Homan | Occupational Therapist | 807 Se Morgan Rd., Vancouver, WA 98664 | 2016-10-19 |
| 1114474277 | Rebecca Marie Stefan | Nurse's Aide | 10025 Ne 19th St, Vancouver, WA 98664 | 2016-09-07 |
| 1528454105 | Alicia Ford | Dietitian, Registered | 700 Ne 87th Ave Ste 280, Vancouver, WA 98664 | 2015-04-10 |
| 1033504261 | Reid Roberts Bennett | Anesthesiology | 505 Ne 87th Ave Ste 210, Vancouver, WA 98664 | 2015-04-03 |
| 1235550856 | Nikolay Nikolaevich Chernukhin Jr. | Chiropractor | 221-a Ne 104th Ave, Suite 205, Vancouver, WA 98664 | 2013-12-27 |
| 1013278712 | Serena Harker | Physical Therapy Assistant | 221a Ne 104th Ave, Suite #205, Vancouver, WA 98664 | 2012-05-30 |
| 1295091080 | Rebeca C Johnson | Massage Therapist | 11015 Ne 4th Plain Suite B, Vancouver, WA 98664 | 2012-04-05 |
| Find all providers in zip 98664 | ||||
| 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 |
|---|---|---|---|---|
| 1366869893 | Stephen J Wold II | Podiatrist | 16701 Ne Mcgillivray Blvd, Ste 220, Vancouver, WA 98683 | 2014-03-21 |
| 1437426145 | Camas Foot and Ankle Pllc | Podiatrist | 16701 Se Mcgillivray Blvd Ste 220, Vancouver, WA 98683-3462 | 2011-11-23 |
| 1710201967 | Vancouver Foot and Ankle, Pllc | Podiatrist | 6108 Ne Highway 99 Ste 107, Vancouver, WA 98665-8751 | 2010-03-17 |
| 1669408118 | Joseph H Leas | Podiatrist | 416 Ne 87th Ave, Ste #2, Vancouver, WA 98664-1930 | 2006-06-25 |
| 1487647921 | Christopher Michael Coop | Podiatrist | 455 Se 177th Ave, Unit 386, Vancouver, WA 98683-4217 | 2005-08-30 |
| 1205152576 | Ellen Mercedes Wenzel | Podiatrist | 601 Se 117th Ave, Suite 240, Vancouver, WA 98683-5297 | 2010-04-12 |
| 1669798930 | Zarko Kajgana | Podiatrist | 601 Se 117th Ave, Suite 240, Vancouver, WA 98683-5297 | 2010-04-12 |
| 1790721827 | Kurt W Davis | Podiatrist | 2415 Se 165th Ave, Ste 104, Vancouver, WA 98683 | 2006-06-20 |
| 1083653265 | Daren Benson | Podiatrist | 700 Ne 87th Ave, Vancouver, WA 98664-1913 | 2006-06-05 |
| 1821081613 | Douglas Brent Rutan | Podiatrist | 100 E 33rd St Ste 206, Vancouver, WA 98663-2776 | 2005-08-26 |
| Find all providers in VANCOUVER | ||||
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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.