TRI-CITY FOOT & ANKLE CENTER LLC NPI 1154747947

NPI Information

  • NPI: 1154747947
  • Provider Name: TRI-CITY FOOT & ANKLE CENTER, LLC
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Organization
  • Address: 9613 SANDIFUR PKWY STE B
    PASCO, WA
    ZIP 99301
  • Phone: (509) 591-9454

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NPI Details

TRI-CITY FOOT & ANKLE CENTER, LLC is a foot and ankle surgery podiatrist in Pasco, WA. TRI-CITY FOOT & ANKLE CENTER, LLC NPI is 1154747947. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9613 SANDIFUR PKWY STE B
PASCO, WA
ZIP 99301-028
Phone: (509) 591-9454
Fax: (509) 578-1118

The provider's authorized official is Brent James Thielges .
The authorized official title is Owner/provider and has the following contact phone number (509) 591-9454.

The enumeration date for this NPI number is 3/17/2014 and was last updated on 7/31/2023.

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
1213ES0103XPodiatristFoot & Ankle SurgeryPO60436994WASHINGTONYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12036331MEDICAIDWASHINGTON

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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