KITSAP PODIATRY PLLC NPI 1801065040

NPI Information

NPI: 1801065040
Provider Name: KITSAP PODIATRY PLLC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
10049 KITSAP MALL BLVD NW
SUITE 109
SILVERDALE, WA
ZIP 98383
Phone: (360) 698-2505
Get Directions

KITSAP PODIATRY PLLC is a podiatrist in Silverdale, 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. KITSAP PODIATRY PLLC NPI is 1801065040. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10049 KITSAP MALL BLVD NW
SUITE 109
SILVERDALE, WA
ZIP 98383-903
Phone: (360) 698-2505
Fax: (360) 698-2514

The provider's authorized official is Paul W Aufderheide .
The authorized official title is Owner and has the following contact phone number (360) 698-2505.

The enumeration date for this NPI number is 2/21/2008 and was last updated on 11/18/2011.

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	213E00000X	Podiatrist			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	6084580001	MEDICARE NSC	WASHINGTON
2	1730260241	OTHER	WASHINGTON	INDIVIDUAL NPI - PAUL W AUFDERHEIDE
3	1801065040	OTHER	WASHINGTON	GROUP NPI - KITSAP PODIATRY
4	T02140	MEDICARE UPIN	WASHINGTON
5	1134326283	OTHER	WASHINGTON	NPI - RYAN DOWNEY, DPM
6	DN6457	OTHER	WASHINGTON	RAILROAD MEDICARE GROUP PTAN
7	P00630592	OTHER	WASHINGTON	RAILROAD MEDICARE GROUP MEMBER PTAN
8	G8870860	OTHER	WASHINGTON	PTAN
9	7125180	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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