PUGET SOUND SPECIALTY PHYSICIANS PLLC NPI 1588843254

NPI Information

NPI: 1588843254
Provider Name: PUGET SOUND SPECIALTY PHYSICIANS PLLC

Doing Business As: SUMNER/PUYALLUP FOOT & ANKLE CLINIC

Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
2728 E MAIN AVE
SUITE A
PUYALLUP, WA
ZIP 98372
Phone: (253) 841-2006
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PUGET SOUND SPECIALTY PHYSICIANS PLLC is a foot and ankle surgery podiatrist in Puyallup, WA. PUGET SOUND SPECIALTY PHYSICIANS PLLC NPI is 1588843254. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Sumner/puyallup Foot & Ankle Clinic.

The provider's business location address is:

2728 E MAIN AVE
SUITE A
PUYALLUP, WA
ZIP 98372-198
Phone: (253) 841-2006
Fax: (253) 840-6691

The provider's authorized official is Tina M Quevedo .
The authorized official title is Billing Office Supervisor and has the following contact phone number (253) 841-2006.

The enumeration date for this NPI number is 10/30/2007 and was last updated on 1/22/2009.

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		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	4384630003	MEDICARE NSC	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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