FASA FAMILY WELLNESS PLLC NPI 1285026443

NPI Information

NPI: 1285026443
Provider Name: FASA FAMILY WELLNESS PLLC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
3929 BRIDGEPORT WAY W STE 308
UNIVERSITY PLACE, WA
ZIP 98466
Phone: (253) 272-2999
Get Directions

FASA FAMILY WELLNESS PLLC is a foot and ankle surgery podiatrist in University Place, WA. FASA FAMILY WELLNESS PLLC NPI is 1285026443. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3929 BRIDGEPORT WAY W STE 308
UNIVERSITY PLACE, WA
ZIP 98466-455
Phone: (253) 272-2999
Fax: (253) 272-4699

The provider's authorized official is Dana Eberhard .
The authorized official title is Credentialing Specialist and has the following contact phone number (360) 706-2767.

The enumeration date for this NPI number is 2/25/2015 and was last updated on 5/20/2021.

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	Primary
1	207Q00000X	Family Medicine		No
2	213ES0103X	Podiatrist	Foot & Ankle Surgery	Yes
3	363A00000X	Physician Assistant		No

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »