Provider Type Icon

ACTIVE FOOT AND ANKLE CENTER NPI 1487808960


NPI Information

NPI: 1487808960
Provider Name: ACTIVE FOOT AND ANKLE CENTER
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
1545 NE 65TH ST
SEATTLE, WA
ZIP 98115
Phone: (425) 868-8287
Get Directions

ACTIVE FOOT AND ANKLE CENTER is an ambulatory surgical clinic center in Seattle, WA. ACTIVE FOOT AND ANKLE CENTER NPI is 1487808960. The provider is registered as an organization entity type.

The provider's business location address is:

1545 NE 65TH ST
SEATTLE, WA
ZIP 98115-800
Phone: (425) 868-8287

The provider's authorized official is Howard Roth .
The authorized official title is Owner/medical Director and has the following contact phone number (425) 868-8287.

The enumeration date for this NPI number is 11/10/2008 and was last updated on 11/12/2008.


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
1261QA1903XClinic/CenterAmbulatory Surgical145WASHINGTONYes

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
1AB08643MEDICARE PINWASHINGTON

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: 4/28/2024

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.