PNC PODIATRY OF WASHINGTON PLLC NPI 1184461774

NPI Information

  • NPI: 1184461774
  • Provider Name: PNC PODIATRY OF WASHINGTON PLLC
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Organization
  • Address: 4300 TALBOT RD S STE 315
    RENTON, WA
    ZIP 98055
  • Phone: (425) 822-7426

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NPI Details

PNC PODIATRY OF WASHINGTON PLLC is a foot and ankle surgery podiatrist in Renton, WA. PNC PODIATRY OF WASHINGTON PLLC NPI is 1184461774. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4300 TALBOT RD S STE 315
RENTON, WA
ZIP 98055-238
Phone: (425) 822-7426
Fax: (425) 827-1717

The provider's authorized official is Jessica Boyd .
The authorized official title is Credentialing Manager and has the following contact phone number (847) 627-4920.

The enumeration date for this NPI number is 7/10/2024 and was last updated on 7/10/2024.

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
1213ES0103XPodiatristFoot & Ankle SurgeryYes

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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