Washington Foot and Ankle Sports Medicine PLLC

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

Organization subpart

No

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.

Title

Podiatrist

Phone

(425) 899-3234

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 3

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

• Kevin Johnston Blue

  • Podiatrist
  • Parker, CO
  • NPI 1740508886
  NPD (past)
• Lori L Dealy, ARNP

  • Family Nurse Practitioner
  • Salt Lake City, UT
  • NPI 1497804835
  NPD (past)
• Craig Sun, DPM

  • Foot & Ankle Surgery Podiatrist
  • Lagrange, GA
  • NPI 1316937451
  NPD (past)

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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRACTITIONER NPI",
            "identifier": "1982683322",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRACTITIONER NPI",
            "identifier": "1144210287",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael D. Ward, MD
• Alexander Wardian, DDS
• Lynn Alison Warschauer, LMP
• Washington Center for Pain Management LLC
• Washington CVS Pharmacy LLC
• Washington Health Associates
• Washington Health Operations LLC
• Washington Health Operations LLC
• Washington Institute Orthopedic Center
• Washington Orthopedics and Sports Medicine, PC

• Sports Medicine Podiatrist in Kirkland, WA
• Providers in Kirkland, WA by specialty
• Sports Medicine Podiatrist in Washington

• 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.