NORTHWEST FOOT & ANKLE CENTER, PS (NPI# 1346265261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346265261 |
| Entity Type | Organization |
| Organization Name | NORTHWEST FOOT & ANKLE CENTER, PS |
| Other Organization Name | NORTHWEST FOOT AND ANKLE CENTER, PS |
| Practice Address |
4300 Talbot Rd S Suite 102 Renton WA 98055-6238 |
| Practice Telephone | 4252773668 |
| Practice Fax Number | 4252770732 |
| Mailing Telephone | 4252773668 |
| Mailing Fax Number | 4252770732 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2019-09-30 |
| Authorized Official Name | PETRINA CELESTE LEWIS (OWNER) |
| Authorized Official Telephone | 4252773668 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 602113454 | WA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | DEPT OF L&I | 156353 | 01 |
| WA | 7110729 | 05 |
| Other Name | Type Code |
|---|---|
| NORTHWEST FOOT AND ANKLE CENTER, PS | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9399 Ridgetop Blvd Nw Ste A, Silverdale, WA 983838505 | 3609002626 | 3609002088 |
| Street Address |
4300 TALBOT RD S SUITE 102 |
| City | RENTON |
| State | WA |
| Zip Code | 98055-6238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770581910 | Mark Thomas Lewis | Podiatrist | 4300 Talbot Rd S, Suite 102, Renton, WA 98055-6238 | 2005-07-12 |
| 1013553841 | Vanessa Marie Rawlings | Nurse Practitioner | 4300 Talbot Rd S, Renton, WA 98055-6238 | 2019-11-27 |
| 1528430030 | Leah C Spellen | Naturopath | 4300 Talbot Rd S, 402, Renton, WA 98055-6238 | 2015-10-23 |
| 1932502234 | Yariel Bello | Massage Therapist | 4300 Talbot Rd S, Suite 303, Renton, WA 98055-6238 | 2014-09-30 |
| 1154699742 | Nw Treatment Center LLC | Massage Therapist | 4300 Talbot Rd S, Ste 303, Renton, WA 98055-6238 | 2011-12-09 |
| 1174823496 | Jamie Lynn Wilcox | Midwife | 4300 Talbot Rd S, Suite 402, Renton, WA 98055-6238 | 2010-11-02 |
| 1619289667 | Marcus R Kauffman, M.d., Pllc | Urology | 4300 Talbot Rd S, Suite 104, Renton, WA 98055-6238 | 2010-07-07 |
| 1952624009 | Pain and Wellness Nw Pllc | Specialist | 4300 Talbot Rd S, Ste 200, Renton, WA 98055-6238 | 2010-03-03 |
| 1174851810 | Provascular Surgery Associates Pllc | Surgery | 4300 Talbot Rd S, Ste 101, Renton, WA 98055-6328 | 2009-11-18 |
| 1649403866 | Dennis Lien-hsun Su | Surgery | 4300 Talbot Rd S, Suite 101, Renton, WA 98055-6238 | 2009-09-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356965750 | Proliance Surgery Center At Valley, LLC | Clinic/Center | 4009 Talbot Road S, Suite 200, Renton, WA 98055 | 2020-06-01 |
| 1851804959 | Talbot Rehabilitation Center, LLC | Skilled Nursing Facility | 4430 Talbot Road South, Renton, WA 98055 | 2017-11-10 |
| 1154878668 | Nelson Family Dentistry | Dentist | 19221 108th Ave Se Suite #2, Renton, WA 98055 | 2016-09-01 |
| 1598182990 | Annie Kyunga Ahn | Otolaryngology | 4033 Talbot Rd S Ste 540, Renton, WA 98055 | 2014-03-24 |
| 1376960138 | Madhuri Gordhan Patel | Registered Nurse | 3501 Mill Place South, Renton, WA 98055 | 2014-03-18 |
| 1912331042 | Karen Dohr | Pharmacist | 400 S. 43 Street, Renton, WA 98055 | 2013-08-26 |
| 1659637668 | Benjamin Reiss | Ophthalmology | 4300 Talbot Rd S Ste 300, Renton, WA 98055 | 2012-04-03 |
| 1205137940 | Duy Ai Quang Hoang | Pharmacist | 9431 S 196th Pl, Renton, WA 98055 | 2010-11-11 |
| 1972823664 | Erica L Ellzey | Physical Therapist | 18623 112th Ave Se, Renton, WA 98055 | 2010-06-04 |
| 1588984587 | Melissa A. Jordan | Nurse Anesthetist, Certified Registered | 4011 Talbot Rd., 5th Floor, Renton, WA 98055 | 2010-06-02 |
| Find all providers in zip 98055 | ||||
| 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 |
|---|---|---|---|---|
| 1194702274 | Gregory W Spencer | Podiatrist | 327 Morris Ave S, Renton, WA 98055-2522 | 2005-12-29 |
| 1770581910 | Mark Thomas Lewis | Podiatrist | 4300 Talbot Rd S, Suite 102, Renton, WA 98055-6238 | 2005-07-12 |
| 1063067825 | Valley Foot & Ankle Pllc | Podiatrist | 433 Sw 41st St, Renton, WA 98057-4926 | 2019-08-07 |
| 1336208321 | Michael Brian Vickers | Podiatrist | 4361 Talbot Rd S, 112, Renton, WA 98055-6226 | 2006-12-06 |
| 1215935457 | Petrina Celeste Lewis | Podiatrist | 4300 Talbot Rd S, Suite 102, Renton, WA 98055-6238 | 2005-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003449430 | Seniorwell Pod of Washington LLC | Podiatrist | 506 Secord Avenue, Suite 1400, Seattle, WA 98104-2329 | 2020-02-13 |
| 1790337194 | Nw Foot and Ankle Specialists, LLC | Podiatrist | 12900 Ne 180th St, Ste 150, Bothell, WA 98011 | 2019-07-15 |
| 1174091193 | Fasa Family Wellness Pllc | Podiatrist | 5210 Corporate Center Ct Se Ste A, Lacey, WA 98503-5952 | 2018-11-07 |
| 1407227424 | Jeremy Cross | Podiatrist | 9399 Ridgetop Blvd Nw Ste A, Silverdale, WA 98383-8505 | 2015-10-16 |
| 1326427584 | Mallory Schweitzer | Podiatrist | 11212 Sunrise Blvd E Ste 203, Puyallup, WA 98374-8847 | 2015-05-21 |
| 1740688902 | Oot Specialists of Puget Sound, Ps | Podiatrist | 2728 E Main Ave Suite A, Puyallup, WA 98372 | 2014-12-19 |
| 1932507191 | & Foot Specialists of Puget Sound, Ps | Podiatrist | 4140 Factoria Blvd Se Suite 1b, Bellevue, WA 98006 | 2014-12-19 |
| 1013313949 | Ankle & Foot Specialists of Puget Sound, Ps | Podiatrist | 17700 Se 272nd St Ste 370, Covington, WA 98042-4951 | 2014-11-04 |
| 1366869893 | Stephen J Wold II | Podiatrist | 16701 Ne Mcgillivray Blvd, Ste 220, Vancouver, WA 98683 | 2014-03-21 |
| 1194085043 | Sara Mahmood | Podiatrist | 1560 N 115th St Ste 102, Seattle, WA 98133-8414 | 2012-05-25 |
| Find all providers with the same taxonomy | ||||
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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.