Mill Creek Foot & Ankle Clinic P.C.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

PO00000593 Issued in WA

Legal business name

MILL CREEK FOOT & ANKLE CLINIC P.C.

Practice address

16708 Bothell Everett Hwy
#204
Mill Creek, WA 98012-1500

Phone

(425) 482-6663

Fax

(425) 482-6665

NPI assigned

Sep 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. Joseph N Hall, DPMNPI 1649231200

Title

Owner

Phone

(425) 482-6663

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA2 enrollments

Enrollment records 2

Locations

Practitioners 4

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

• Joseph N. Hall, DPM,FACFAS

  • Foot & Ankle Surgery Podiatrist
  • Mill Creek, WA
  • NPI 1649231200
  Medicare reassignment Care Compare group Authorized official
• Renee Danks, DPM

  • Podiatrist
  • Mill Creek, WA
  • NPI 1740921618
  Medicare reassignment Care Compare group NPD
• Bryan Le Holand, DPM

  • Foot & Ankle Surgery Podiatrist
  • Bellevue, WA
  • NPI 1699139055
  Medicare reassignment NPD
• Nathan Hansen, DPM

  • Primary Podiatric Medicine Podiatrist
  • Mill Creek, WA
  • NPI 1669872925
  NPD (past)

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417564800000",
    "number": "1245425925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16708 BOTHELL EVERETT HWY",
            "address_2": "#204",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980121500",
            "telephone_number": "425-482-6663",
            "fax_number": "425-482-6665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16708 BOTHELL EVERETT HWY",
            "address_2": "#204",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980121500",
            "telephone_number": "425-482-6663",
            "fax_number": "425-482-6665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILL CREEK FOOT & ANKLE CLINIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2014-12-03",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-482-6663",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WA",
            "license": "PO00000593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mill Creek Eye and Contact Lens Clinic, Inc.
• Mill Creek Family Eyewear
• Mill Creek Family Medicine, Inc
• Mill Creek Family Practice PLLC
• Mill Creek Family Services, PLLC
• Mill Creek General Dentistry
• Mill Creek Implants & Periodontics
• Mill Creek Pharmacy Inc
• Mill Creek Physical Therapy & Sports Rehab, Inc. P.S.
• Mill Creek Wellness Center

• Foot & Ankle Surgery Podiatrist in Mill Creek, WA
• Providers in Mill Creek, 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 Dec 3, 2014; 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.