FAMILY FOOT HEALTH CENTER INC. (NPI# 1811177975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811177975 |
Entity Type | Organization |
Organization Name | FAMILY FOOT HEALTH CENTER INC. |
Practice Address |
11212 Sunrise Blvd E # 203 Puyallup WA 98374-8847 |
Practice Telephone | 2538414262 |
Practice Fax Number | 2538417112 |
Mailing Telephone | 2538414262 |
Mailing Fax Number | 2538417112 |
Enumeration Date | 2007-11-06 |
Last Update Date | 2011-05-20 |
Authorized Official Name | DR. TIMOTHY S GRACE (PRESIDENT OF CORPORATION) |
Authorized Official Telephone | 2538414262 |
Authorized Official Credential | DPM |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213E00000X | Podiatrist | PO 00000441 | WA | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | L&I GRP | 59623 | 01 |
Street Address |
11212 SUNRISE BLVD E # 203 |
City | PUYALLUP |
State | WA |
Zip Code | 98374-8847 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720068067 | Jason Dean Brayley | Family Medicine | 11212 Sunrise Blvd E, Ste 201, Puyallup, WA 98374-8847 | 2006-01-20 |
1215181482 | Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance | Clinic/Center | 11212 Sunrise Blvd E, #200, Puyallup, WA 98374-8847 | 2008-11-13 |
1790963866 | Northwest Foot and Ankle Center, Ps | Podiatrist | 11212 Sunrise Blvd E, Suite 203, Puyallup, WA 98374-8847 | 2008-01-31 |
1588788731 | Medical Imaging Northwest, LLP | Radiology | 11212 Sunrise Blvd E, Suite 200, Puyallup, WA 98374-8847 | 2007-03-16 |
1316079254 | John Hung, Md, Pllc | Orthopaedic Surgery | 11212 Sunrise Blvd E, Suite 201, Puyallup, WA 98374-8847 | 2007-03-09 |
1043371909 | Ryan Riel | Orthopaedic Surgery | 11212 Sunrise Blvd E, #201, Puyallup, WA 98374-8847 | 2006-12-13 |
1891705935 | Timothy S Grace | Podiatrist | 11212 Sunrise Blvd E, # 203, Puyallup, WA 98374-8847 | 2006-08-09 |
1548201163 | Daniel C Ene Stroescu | Internal Medicine | 11212 Sunrise Blvd E, Suite 201, Puyallup, WA 98374-8847 | 2006-06-08 |
1386683795 | Physiotherapy Associates Inc | Clinic/Center | 11212 Sunrise Blvd E, Suite 202, Puyallup, WA 98374-8847 | 2006-06-05 |
1134176340 | Theresa K Martin | Physician Assistant | 11212 Sunrise Blvd E, #201, Puyallup, WA 98374-8847 | 2006-05-31 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073173977 | Courtney Yant | Registered Nurse | 300 3rd St Se, Puyallup, WA 98374 | 2019-06-13 |
1013480508 | Tracy Pina | Massage Therapist | 16909 123rd Ave E, Puyallup, WA 98374 | 2019-01-07 |
1922524917 | Edith M Wood | Registered Nurse | 13517 152nd St Ct E, Puyallup, WA 98374 | 2017-08-21 |
1669875993 | Jillian C S Longway | Registered Nurse | 11102 Sunrise Blvd E Ste 103, Puyallup, WA 98374 | 2014-10-01 |
1427302025 | Nadeem Jaffer | Internal Medicine | 3800 3rd St. Se, Puyallup, WA 98374 | 2012-11-04 |
1851605356 | Madigan Army Medical Ctr | Clinic/Center | 15600 Meridan Ave, Sunrise Village Center, East Puyallup, WA 98374 | 2010-07-27 |
1326368135 | Matt Karl Jahns | Massage Therapist | 2402 20th St Se, Puyallup, WA 98374 | 2010-06-03 |
1982833208 | Roxy Sturgeon | Speech-Language Pathologist | 2309 43rd Ave Se, Puyallup, WA 98374 | 2009-07-08 |
1497921191 | Morgan Counseling Services Inc. | Substance Abuse Rehabilitation Facility | 10312 120th Street East, Suite #3, Puyallup, WA 98374 | 2008-05-02 |
1700055795 | Walter Royal Patterson Jr. | Registered Nurse | 11102 Sunrise Blvd. E., Ste. 103, Woodcreek Healthcare, Puyallup, WA 98374 | 2008-02-25 |
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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 |
---|---|---|---|---|
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 |
1952550295 | Cody M Hoover | Podiatrist | 8012 112th Street Ct E Ste 120, Puyallup, WA 98373-7856 | 2008-09-11 |
1710972740 | Ronald S Sorensen | Podiatrist | 2728 E Main Ave, Suite A, Puyallup, WA 98372-3198 | 2005-09-15 |
1851386973 | Kenneth L. Hilliard | Podiatrist | 1011 E Main, Suite 101, Puyallup, WA 98372-6779 | 2005-09-14 |
1558668582 | Ankle & Foot Specialists of Puget Sound, Ps | Podiatrist | 2728 E Main Ave, Suite A, Puyallup, WA 98372-3198 | 2011-02-28 |
1790963866 | Northwest Foot and Ankle Center, Ps | Podiatrist | 11212 Sunrise Blvd E, Suite 203, Puyallup, WA 98374-8847 | 2008-01-31 |
1346235959 | Charles R Chu | Podiatrist | 2728 E Main Ave, Suite A, Puyallup, WA 98372-3198 | 2005-09-20 |
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 |
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 |
1437426145 | Camas Foot and Ankle Pllc | Podiatrist | 16701 Se Mcgillivray Blvd Ste 220, Vancouver, WA 98683-3462 | 2011-11-23 |
1841578705 | Ankle & Foot Specialist of Puget Sound, Ps | Podiatrist | 10004 204th Ave E Ste 2700, Bonney Lake, WA 98391-6535 | 2011-07-26 |
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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.