PUGET SOUND SPECIALTY PHYSICIANS PLLC (NPI# 1770766271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770766271 |
| Entity Type | Organization |
| Organization Name | PUGET SOUND SPECIALTY PHYSICIANS PLLC |
| Other Organization Name | ENUMCLAW FOOT & ANKLE CLINIC |
| Practice Address |
2820 Griffin Ave Suite 101 Enumclaw WA 98022-2373 |
| Mailing Address |
2728 E Main Ave Suite A Puyallup WA 98372-3198 |
| Practice Telephone | 2538412006 |
| Practice Fax Number | 2538406691 |
| Mailing Telephone | 2538412006 |
| Mailing Fax Number | 2538406691 |
| Enumeration Date | 2007-12-07 |
| Last Update Date | 2008-06-05 |
| Authorized Official Name | TINA M QUEVEDO (BILLING OFFICE SUPERVISOR) |
| Authorized Official Telephone | 2538412006 |
| Is Organization Subpart | Y |
| Parent Organization Name | PUGET SOUND SPECIALTY PHYSICIANS PLLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
WA | Podiatric Medicine & Surgery Service Providers |
| Other Name | Type Code |
|---|---|
| Enumclaw Foot & Ankle Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144401704 | Puget Sound Specialty Physicians Pllc | Podiatrist | 19820 Hwy 410 East, Bonney Lake, WA 98391 | 2007-11-23 |
| 1124203963 | Puget Sound Specialty Physicians Pllc | Podiatrist | 2728 E Main Ave, Suite A, Puyallup, WA 98372-3198 | 2007-12-28 |
| 1760661334 | Puget Sound Specialty Physicians Pllc | Podiatrist | 4140 Factoria Blvd Se, Suite 1b, Bellevue, WA 98006-5261 | 2007-10-30 |
| 1114106796 | Puget Sound Specialty Physicians Pllc | Podiatrist | 2005 Nw Sammamish Rd, Issaquah, WA 98027-8940 | 2007-10-30 |
| 1477732055 | Puget Sound Specialty Physicians Pllc | Podiatrist | 3908 10th St Se, Puyallup, WA 98374-2188 | 2007-10-30 |
| 1588843254 | Puget Sound Specialty Physicians Pllc | Podiatrist | 2728 E Main Ave, Suite A, Puyallup, WA 98372-3198 | 2007-10-30 |
| Street Address |
2820 GRIFFIN AVE SUITE 101 |
| 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 |
| 1235443334 | Foothills Internal Medicine Pllc | Clinic/Center | 2820 Griffin Ave, Suite 204, Enumclaw, WA 98022-2373 | 2010-07-30 |
| 1710214473 | Kari Schamel | Massage Therapist | 2820 Griffin Ave, Suite 204, Enumclaw, WA 98022-2373 | 2009-11-17 |
| 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 | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790790376 | Abe Charles Bagniewski | Podiatrist | 3021 Griffin Ave, Enumclaw, WA 98022-2369 | 2006-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598392599 | Northern Cascades Foot and Ankle, LLC | Podiatrist | 532 E. Woodin Ave, Chelan, WA 98816-1852 | 2020-03-27 |
| 1801433784 | South Hill Foot & Ankle Clinic Ps | Podiatrist | 3707 S Grand Blvd Ste A, Spokane, WA 99203-2762 | 2019-12-10 |
| 1679025902 | Fasa Family Wellness, Pllc | Podiatrist | 2964 Limited Ln Nw, Suite B, Olympia, WA 98502-4577 | 2016-11-03 |
| 1356899363 | Emily Wagler | Podiatrist | 34509 9th Ave S Ste 303, Federal Way, WA 98003-8709 | 2016-09-19 |
| 1821546540 | Ata Podiatric and Integrative Medicine, Pllc | Podiatrist | 1950 Alaskan Way, Apt 526, Seattle, WA 98101-1075 | 2016-09-12 |
| 1376998179 | Hyowon Choi | Podiatrist | 2075 Barkley Blvd Ste 220, Bellingham, WA 98226 | 2016-04-28 |
| 1407210479 | Philip Matthew Woods | Podiatrist | 1812 N 13th Loop Rd # 1, Shelton, WA 98584-2169 | 2016-04-06 |
| 1063897916 | Yan Rong Cullen | Podiatrist | 13030 121st Way Ne Ste 204, Kirkland, WA 98034-3008 | 2015-07-21 |
| 1972982023 | Brittany Lynn Logan | Podiatrist | 10049 Kitsap Mall Blvd Nw Ste 109, Silverdale, WA 98383-8901 | 2015-05-21 |
| 1093194425 | Silas Klaver | Podiatrist | 1607 Creekside Loop Ste 140, Yakima, WA 98902 | 2015-05-18 |
| 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.