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NORTHWEST FOOT AND ANKLE PHYSICIANS AND SURGEONS LLC NPI 1477640779


NPI Information

NPI: 1477640779
Provider Name: NORTHWEST FOOT AND ANKLE PHYSICIANS AND SURGEONS, LLC
Classification: Podiatrist - 213E00000X
Entity Type: Organization

CLIA Number: 50D0977101

Address:
10821 19TH AVE SE
EVERETT, WA
ZIP 98208
Phone: (425) 337-7000
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NORTHWEST FOOT AND ANKLE PHYSICIANS AND SURGEONS, LLC is a podiatrist in Everett, 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. NORTHWEST FOOT AND ANKLE PHYSICIANS AND SURGEONS, LLC NPI is 1477640779. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10821 19TH AVE SE
EVERETT, WA
ZIP 98208-103
Phone: (425) 337-7000
Fax: (425) 338-2408

The provider's authorized official is Gordon Suichi Nishimoto .
The authorized official title is President and has the following contact phone number (425) 337-7000.

The CLIA number assigned to this NPI record is 50D0977101 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/6/2006 and was last updated on 5/21/2015.


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
1213E00000XPodiatristP0725WASHINGTONYes

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
14965350001MEDICARE NSCWASHINGTON
2AB29341MEDICARE PINWASHINGTON
37138191MEDICAIDWASHINGTON

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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