Skagit Foot and Ankle Clinic

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

SKAGIT FOOT AND ANKLE CLINIC

Practice address

1617 E Division St
Mount Vernon, WA 98274-4503

Phone

(360) 424-7018

NPI assigned

Feb 22, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Nicholas ChangNPI 1265094700

Title

Owner

Phone

(360) 424-7018

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicholas Chang, DPM

  • Foot & Ankle Surgery Podiatrist
  • Mount Vernon, WA
  • NPI 1265094700

  Foot & Ankle Surgery, WA

  Medicare reassignment NPD Authorized official
• Doris S K Lam, DPM

  • Podiatrist
  • Mount Vernon, WA
  • NPI 1518043298
  NPD (past)

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

{
    "created_epoch": "1645488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667692800000",
    "number": "1124774864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1617 E DIVISION ST",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982744503",
            "telephone_number": "360-424-7018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 E DIVISION ST",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982744503",
            "telephone_number": "360-424-7018"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1917 Commercial Ave",
            "address_purpose": "LOCATION",
            "city": "Anacortes",
            "state": "WA",
            "postal_code": "982212328",
            "country_code": "US",
            "telephone_number": "360-424-7018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SKAGIT FOOT AND ANKLE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-22",
        "last_updated": "2022-11-06",
        "certification_date": "2022-11-06",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-424-7018",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Skagit County Community Action Agency
• Skagit County Health Department
• Skagit County Human Services
• Skagit Digital Imaging LLC
• Skagit Family Health Clinic LLC Cowan Seth P MBR
• Skagit Hand Therapy LLC
• Skagit Hospice Services L L C
• Skagit Hospice Services, LLC
• Skagit Island Rehabilitation Group
• Skagit Osteoporosis Detection Center

• Foot & Ankle Surgery Podiatrist in Mount Vernon, WA
• Providers in Mount Vernon, WA by specialty
• Foot & Ankle Surgery Podiatrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.