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BASIN FOOT & ANKLE PS NPI 1669437067


NPI Information

NPI: 1669437067
Provider Name: BASIN FOOT & ANKLE PS
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
1336 S PIONEER WAY
STE 101
MOSES LAKE, WA
ZIP 98837
Phone: (509) 765-4431
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BASIN FOOT & ANKLE PS is a podiatrist in Moses Lake, 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. BASIN FOOT & ANKLE PS NPI is 1669437067. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1336 S PIONEER WAY
STE 101
MOSES LAKE, WA
ZIP 98837-622
Phone: (509) 765-4431
Fax: (509) 765-4103

The provider's authorized official is Michael Lee .
The authorized official title is Owner and has the following contact phone number (509) 765-4431.

The enumeration date for this NPI number is 4/19/2006 and was last updated on 10/24/2007.


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
1213E00000XPodiatristPO00000699WASHINGTONYes

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
17105216MEDICAIDWASHINGTON
20150382OTHERWASHINGTONL & I
39050626OTHERWASHINGTONMEDICAID PROSTHETIC #
44023070001MEDICARE NSCWASHINGTON
5AB22606MEDICARE PINWASHINGTON

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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