NPIMap

Organization Active NPI

Washington Foot and Ankle Sports Medicine PLLC

  • Sports Medicine Podiatrist
  • Kirkland, WA
National Provider Identifier
1154479327
Registry record updated Jul 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine PodiatristTaxonomy code 213ES0000X
License
PO710 Issued in WA
Legal business name
WASHINGTON FOOT AND ANKLE SPORTS MEDICINE PLLC
Practice address
12911 120TH Ave NE Ste C50
Kirkland, WA 98034-3080
Phone
(425) 899-3234
Fax
(425) 899-3235
NPI assigned
Jan 6, 2007
Last updated
Jul 21, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2020

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

Authorized official

Name
Dr. Lawrence Michael Maurer, D.P.M.NPI 1144210287
Title
Podiatrist
Phone
(425) 899-3234

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0000X PO710 WA Primary

Addresses

Primary practice location

12911 120TH Ave NE Ste C50
Kirkland, WA 98034-3080

Mailing address

12707 120TH Ave NE
Suite 206
Kirkland, WA 98034-7500
Phone (425) 899-3234

National Provider Directory

National Provider Directory

Locations

12707 120th Ave NE
Ste 206
Kirkland, WA 98034
Phone (425) 899-3234

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1168041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595289600000",
    "number": "1154479327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12707 120TH AVE NE",
            "address_2": "SUITE 206",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980347500",
            "telephone_number": "425-899-3234",
            "fax_number": "425-899-3235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12911 120TH AVE NE STE C50",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980343080",
            "telephone_number": "425-899-3234",
            "fax_number": "425-899-3235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON FOOT AND ANKLE SPORTS MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-06",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A",
        "authorized_official_last_name": "MAURER",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "425-899-3234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Sports Medicine",
            "state": "WA",
            "license": "PO710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.