MOLLY ICHIKAWA DPM NPI 1003418427

NPI Information

  • NPI: 1003418427
  • Provider Name: MOLLY ICHIKAWA, DPM
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1609 116TH AVE NE
    BELLEVUE, WA
    ZIP 98004
  • Phone: (425) 283-5093

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NPI Details

Molly Ichikawa, DPM is a podiatrist in Bellevue, WA with 4 years of experience. 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. Molly Ichikawa, DPM NPI is 1003418427. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: TEMPLE UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Graduation Year:2021

The provider's business location address is:

1609 116TH AVE NE
BELLEVUE, WA
ZIP 98004-024
Phone: (425) 283-5093

The NPI 1003418427 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 11/10/2020 and was last updated on 5/1/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213ES0000XPodiatristSports MedicinePO61544614WASHINGTONNo
2213ES0103XPodiatristFoot & Ankle SurgeryPO61544614WASHINGTONNo
3390200000XStudent in an Organized Health Care Education/Training ProgramNo
4213E00000XPodiatristPO61544614WASHINGTONYes

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: 3/30/2025

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