NORTHWEST FOOT AND ANKLE PHYSICIANS AND SURGEONS, LLC (NPI# 1477640779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477640779 |
| Entity Type | Organization |
| Organization Name | NORTHWEST FOOT AND ANKLE PHYSICIANS AND SURGEONS, LLC |
| Practice Address |
10821 19th Ave Se Everett WA 98208-5103 |
| Practice Telephone | 4253377000 |
| Practice Fax Number | 4253382408 |
| Mailing Telephone | 4253377000 |
| Mailing Fax Number | 4253382408 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2015-05-21 |
| Authorized Official Name | MR. GORDON SUICHI NISHIMOTO (PRESIDENT) |
| Authorized Official Telephone | 4253377000 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | P0725 | WA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 7138191 | 05 |
| Street Address |
10821 19TH AVE SE |
| City | EVERETT |
| State | WA |
| Zip Code | 98208-5103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073086641 | Pnw Physical Therapy, LLC | Physical Therapist | 10821 19th Ave Se, Everett, WA 98208-5103 | 2019-01-07 |
| 1255411419 | Bryan Leonard Berghout | Podiatrist | 10821 19th Ave Se, Everett, WA 98208-5103 | 2006-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790270296 | Kenneth Britt Dyer | Registered Nurse | 10333 19th Ave, Se, Ste #109, Everett, WA 98208 | 2018-06-27 |
| 1518482215 | Glacier Peak Healthcare, Inc. | Home Health | 10530 19th Ave Se Ste 201, Everett, WA 98208 | 2017-08-03 |
| 1114454865 | Aliza Kreisman | Registered Nurse | 11020 19th Avenue Se, Kaiser Permanente of Washington Seattle Care Clinic, Everett, WA 98208 | 2017-05-12 |
| 1902269418 | Clay Eakin | Counselor | 2732 Grand Evenue, Everett, WA 98208 | 2016-04-01 |
| 1467810259 | Elizabeth Anne Powley | Marriage & Family Therapist | 1920 100th Street Southeast, Bld C3, Everett, WA 98208 | 2016-02-08 |
| 1659745842 | Andrea Rose Bedlington | Pharmacist | 11407 33rd Dr. Se, Everett, WA 98208 | 2015-11-25 |
| 1396123865 | Sound Surgeons Pllc | Clinic/Center | 125 130th Street Se, 1st Floor, Everett, WA 98208 | 2015-05-15 |
| 1831576537 | Chris Sturgeon | Counselor | 10102 Meridian Ave, Everett, WA 98208 | 2015-05-01 |
| 1982011128 | James M Lee | Physical Therapist | 10821 19th Ave Se Ste 102, Everett, WA 98208 | 2014-07-21 |
| 1972937357 | Ronald Tracy | Dentist | 10315 19th Avenue Se Suite 110, Everett, WA 98208 | 2013-08-21 |
| Find all providers in zip 98208 | ||||
| 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 |
|---|---|---|---|---|
| 1932327335 | Western Washington Medical Group, Inc Ps | Podiatrist | 3202 Colby Ave Ste E, Everett, WA 98201-4324 | 2007-04-23 |
| 1073630646 | Mitchell Mark Gertz | Podiatrist | 906 Broadway, Everett, MA 02149-3126 | 2007-03-26 |
| 1821172156 | Edward Joseph Chesnutis | Podiatrist | 10305 19th Ave Se, Suite A, Everett, WA 98208-4218 | 2006-10-24 |
| 1215977863 | Kevin L Morris | Podiatrist | 3202 Colby Ave, Suite E, Everett, WA 98201-4324 | 2006-06-08 |
| 1437128345 | Everett Foot Care PC | Podiatrist | 459 Broadway, Everett, MA 02149-3614 | 2006-03-14 |
| 1306827795 | Timothy I Mccord | Podiatrist | 3401 Rucker Ave, Everett, WA 98201-4281 | 2005-11-11 |
| 1184615619 | Joseph John Rupp | Podiatrist | 202 Memorial Dr, Suite 3, Everett, PA 15537-7057 | 2005-11-03 |
| 1063834125 | Dr Brandon J Wilt Dpm LLC | Podiatrist | 283 Hospital Dr, Everett, PA 15537-7020 | 2014-01-09 |
| 1811146541 | Brandon Jason Wilt | Podiatrist | 138 Memorial Dr, Everett, PA 15537-7028 | 2008-09-18 |
| 1932309150 | Mitchell M Gertz | Podiatrist | 906 Broadway, Everett, MA 02149-3126 | 2007-07-25 |
| Find all providers in EVERETT | ||||
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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.