NPIMap

Organization Active NPI

Podiatric Physicians and Surgeoans PS

  • Podiatrist
  • Seattle, WA
National Provider Identifier
1194919829
Registry record updated May 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
POOOO177 Issued in WA
Legal business name
PODIATRIC PHYSICIANS AND SURGEOANS PS
Doing business as
dr ronald krivosha
Practice address
1101 Madison St
Suite 1120
Seattle, WA 98104-1306
Phone
(206) 447-0302
Fax
(206) 682-5951
NPI assigned
Sep 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2008

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

Authorized official

Name
Dr. Ronald S Krivosha, DPMNPI 1285717215
Title
Podiatrist
Phone
(206) 447-0302

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X POOOO177 WA Primary

Addresses

Primary practice location

1101 Madison St
Suite 1120
Seattle, WA 98104-1306

Mailing address

1101 Madison St
Suite 1120
Seattle, WA 98104-3558
Phone (206) 447-0302

Other identifiers 1

IdentifierTypeStateIssuer
1010701MedicaidWY

Other names 1

  • dr ronald krivosha Doing business as

National Provider Directory

National Provider Directory

Locations

1101 Madison St
Ste 1120
Seattle, WA 98104
Phone (206) 447-0302

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209686400000",
    "number": "1194919829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 MADISON ST",
            "address_2": "SUITE 1120",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981043558",
            "telephone_number": "206-447-0302",
            "fax_number": "206-681-5951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 MADISON ST",
            "address_2": "SUITE 1120",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981041306",
            "telephone_number": "206-447-0302",
            "fax_number": "206-682-5951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PODIATRIC PHYSICIANS AND SURGEOANS PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2008-05-02",
        "status": "A",
        "authorized_official_last_name": "KRIVOSHA",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "206-447-0302",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "WA",
            "license": "POOOO177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1010701",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dr ronald krivosha",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; 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.