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EAST HILL FOOT AND ANKLE CLINIC NPI 1063691012


NPI Information

NPI: 1063691012
Provider Name: EAST HILL FOOT AND ANKLE CLINIC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
24837 104TH AVE SE
101
KENT, WA
ZIP 98030
Phone: (253) 859-1112
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EAST HILL FOOT AND ANKLE CLINIC is a foot and ankle surgery podiatrist in Kent, WA. EAST HILL FOOT AND ANKLE CLINIC NPI is 1063691012. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

24837 104TH AVE SE
101
KENT, WA
ZIP 98030-800
Phone: (253) 859-1112
Fax: (253) 859-1190

The provider's authorized official is Joseph Ng .
The authorized official title is Owner and has the following contact phone number (253) 859-1112.

The enumeration date for this NPI number is 10/26/2007 and was last updated on 3/8/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213ES0103XPodiatristFoot & Ankle SurgeryC600586258WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10593870001MEDICARE NSCWASHINGTON
27004971MEDICAIDWASHINGTON
3G000149000MEDICARE PIN
4QMXPR0043826OTHERWASHINGTONMOLINA HEALTHCARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.