Provider Type Icon

ANKLE & FOOT SPECIALISTS OF PUGET SOUND PS NPI 1649561168


NPI Information

NPI: 1649561168
Provider Name: ANKLE & FOOT SPECIALISTS OF PUGET SOUND, PS

Doing Business As: ANKLE & FOOT SPECIALIST OF PUYALLUP

Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
3908 10TH ST SE
PUYALLUP, WA
ZIP 98374
Phone: (253) 848-6656
Get Directions

ANKLE & FOOT SPECIALISTS OF PUGET SOUND, PS is a podiatrist in Puyallup, 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. ANKLE & FOOT SPECIALISTS OF PUGET SOUND, PS NPI is 1649561168. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Ankle & Foot Specialist Of Puyallup.

The provider's business location address is:

3908 10TH ST SE
PUYALLUP, WA
ZIP 98374-188
Phone: (253) 848-6656
Fax: (253) 840-6787

The provider's authorized official is Charles R Chu .
The authorized official title is Physician/ Owner and has the following contact phone number (425) 449-2471.

The enumeration date for this NPI number is 5/2/2011 and was last updated on 3/26/2012.


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
1213EP1101XPodiatristPrimary Podiatric MedicinePO 30106729WASHINGTONNo
2213ES0103XPodiatristFoot & Ankle SurgeryPO 60106729WASHINGTONNo
3213E00000XPodiatristPO 60106729WASHINGTONYes

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
1G8906838MEDICARE 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: 5/5/2024

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.