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WASHINGTON FOOT AND ANKLE SPORTS MEDICINE PLLC NPI 1154479327


NPI Information

NPI: 1154479327
Provider Name: WASHINGTON FOOT AND ANKLE SPORTS MEDICINE PLLC
Classification: Podiatrist - 213ES0000X
Entity Type: Organization

Specialization: Sports Medicine

Address:
12911 120TH AVE NE STE C50
KIRKLAND, WA
ZIP 98034
Phone: (425) 899-3234
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WASHINGTON FOOT AND ANKLE SPORTS MEDICINE PLLC is a sports medicine podiatrist in Kirkland, WA. WASHINGTON FOOT AND ANKLE SPORTS MEDICINE PLLC NPI is 1154479327. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12911 120TH AVE NE STE C50
KIRKLAND, WA
ZIP 98034-080
Phone: (425) 899-3234
Fax: (425) 899-3235

The provider's authorized official is Lawrence Michael Maurer .
The authorized official title is Podiatrist and has the following contact phone number (425) 899-3234.

The enumeration date for this NPI number is 1/6/2007 and was last updated on 7/21/2020.


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
1213ES0000XPodiatristSports MedicinePO710WASHINGTONYes

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
11144210287OTHERWASHINGTONPRACTITIONER NPI
21982683322OTHERWASHINGTONPRACTITIONER NPI

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.