TRI-CITY FOOT & ANKLE CENTER LLC NPI 1154747947

NPI Information

NPI: 1154747947
Provider Name: TRI-CITY FOOT & ANKLE CENTER, LLC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
9613 SANDIFUR PKWY STE B
PASCO, WA
ZIP 99301
Phone: (509) 591-9454
Get Directions

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
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	PO60436994	WASHINGTON	Yes

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
1	2036331	MEDICAID	WASHINGTON

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: 5/5/2024

NPI Synchronization or Removal

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