Individual provider Active NPI

John William Parmelee, DPM

  • Foot & Ankle Surgery Podiatrist
  • Issaquah, WA
National Provider Identifier
1114922853
Registry record updated Nov 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
473 Issued in WA
Practice address
2153 Shy Bear Way NW
Apt 411
Issaquah, WA 98027-5630
Phone
(206) 369-0555
NPI assigned
Jun 18, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 473 WA Primary

Addresses

Primary practice location

2153 Shy Bear Way NW
Apt 411
Issaquah, WA 98027-5630

Mailing address

2153 Shy Bear Way NW
Apt 411
Issaquah, WA 98027-5630
Phone (235) 631-4960

Other identifiers 1

IdentifierTypeStateIssuer
1068618MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 1, 2016 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
473WAMDFoot & Ankle Surgery Podiatrist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510531200000",
    "number": "1114922853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2153 SHY BEAR WAY NW",
            "address_2": "APT 411",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980275630",
            "telephone_number": "235-631-4960",
            "fax_number": "253-630-0730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2153 SHY BEAR WAY NW",
            "address_2": "APT 411",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980275630",
            "telephone_number": "206-369-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARMELEE",
        "first_name": "JOHN",
        "middle_name": "WILLIAM",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-18",
        "last_updated": "2017-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WA",
            "license": "473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1068618",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Issaquah, WA

Sources for this page

Verify at the official NPI Registry.