PNC Podiatry of Washington PLLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

PNC PODIATRY OF WASHINGTON PLLC

Practice address

1311 E Division St
Mount Vernon, WA 98274-4134

Phone

(360) 424-0002

NPI assigned

Sep 15, 2026

Organization subpart

Yes

Parent organization

PNC PODIATRY OF WASHINGTON PLLCAs reported in NPPES

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

Authorized official

Name

Alexander Reyzelman

Title

Cmo

Phone

(415) 292-0638

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1789430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789430400000",
    "number": "1255242681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 843324",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900843324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 E DIVISION ST",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982744134",
            "telephone_number": "360-424-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PNC PODIATRY OF WASHINGTON PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PNC PODIATRY OF WASHINGTON PLLC",
        "enumeration_date": "2026-09-15",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A",
        "authorized_official_last_name": "REYZELMAN",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "415-292-0638"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandee Pierce, LMP
• Anna L Pilzek, MD
• Pioneer Human Services
• Planned Parenthood of Greater Washington and North Idaho (Ppgwni)
• Jonathan Kaiser Ploudre, M.D.
• Elizabeth M Poli, ARNP
• Suneil Frances Polley, ND, LAC
• Arie Poot, M.DIV., M.A.
• Erika Rose Bjorklund Pope, DO
• Allison J. Porter, MD

• 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 Sep 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.