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PODIATRIC PHYSICIANS AND SURGEONS P.S. NPI 1952480899


NPI Information

NPI: 1952480899
Provider Name: PODIATRIC PHYSICIANS AND SURGEONS P.S.

Doing Business As: DR. RONALD KRIVOSHA

Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
11711 NE 12TH ST
SUITE 1B
BELLEVUE, WA
ZIP 98005
Phone: (425) 453-1598
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PODIATRIC PHYSICIANS AND SURGEONS P.S. is a podiatrist in Bellevue, WA. The provider is 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. PODIATRIC PHYSICIANS AND SURGEONS P.S. NPI is 1952480899. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Dr. Ronald Krivosha.

The provider's business location address is:

11711 NE 12TH ST
SUITE 1B
BELLEVUE, WA
ZIP 98005
Phone: (425) 453-1598
Fax: (425) 450-0029

The provider's authorized official is Ronald S Krivosha .
The authorized official title is Doctor Of Podiatric Medicine and has the following contact phone number (425) 453-1598.

The enumeration date for this NPI number is 11/2/2006 and was last updated on 12/20/2007.


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
1213E00000XPodiatristP0OOO177WASHINGTONYes

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
11477405MEDICAIDWASHINGTON
21C 000102875MEDICARE PINWASHINGTON
31010701MEDICAIDWASHINGTON
40059835OTHERWASHINGTONLABOR AND INDURSTRY
5TO1677MEDICARE UPINWASHINGTON
61086360001MEDICARE NSCWASHINGTON

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

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