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CASCADE FOOT & ANKLE NPI 1366562035


NPI Information

NPI: 1366562035
Provider Name: CASCADE FOOT & ANKLE
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
450 NW GILMAN BLVD
SUITE 303
ISSAQUAH, WA
ZIP 98027
Phone: (425) 391-8666
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CASCADE FOOT & ANKLE is a podiatrist in Issaquah, 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. CASCADE FOOT & ANKLE NPI is 1366562035. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

450 NW GILMAN BLVD
SUITE 303
ISSAQUAH, WA
ZIP 98027-483
Phone: (425) 391-8666
Fax: (425) 392-6433

The provider's authorized official is Timothy W. Young .
The authorized official title is Administrator and has the following contact phone number (425) 391-8666.

The enumeration date for this NPI number is 3/29/2007 and was last updated on 2/28/2008.


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
1213E00000XPodiatristPO00000389WASHINGTONYes

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
10508260001MEDICARE NSCWASHINGTON

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

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