Ankle and Foot Clinic of Lakewood, PLLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

PO00000302 Issued in WA

Legal business name

ANKLE AND FOOT CLINIC OF LAKEWOOD, PLLC

Doing business as

Cynthia A Fenberg

Practice address

5225 Cirque Dr W
Ste 100
University Place, WA 98467-3604

Phone

(253) 474-4353

Fax

(253) 474-5850

NPI assigned

Aug 22, 2007

Last updated

Jun 16, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Cynthia Ann Fenberg, D.P.M.NPI 1215151220

Title

Physician/Owner

Phone

(253) 474-4353

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Cynthia A Fenberg Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 1

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.

• Cynthia A Fenberg, DPM

  • Podiatrist
  • University Place, WA
  • NPI 1215151220
  Authorized official Same address or phone

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276646400000",
    "number": "1275726291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5225 CIRQUE DR W",
            "address_2": "STE 100",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984673604",
            "telephone_number": "253-474-4353",
            "fax_number": "253-474-5850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225 CIRQUE DR W",
            "address_2": "STE 100",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984673604",
            "telephone_number": "253-474-4353",
            "fax_number": "253-474-5850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANKLE AND FOOT CLINIC OF LAKEWOOD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-22",
        "last_updated": "2010-06-16",
        "status": "A",
        "authorized_official_last_name": "FENBERG",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "253-474-4353",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WA",
            "license": "PO00000302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "GAB 18873",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cynthia A Fenberg",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• June Lisa Anderson
• Kaitlyn Marie Anderson
• Seth Jacob Anderson, DC
• Jamilah Andrews, MG61440750
• Rishena Andrews, LMFTA
• Donna Aliga Apolinario, MD
• Jenesse Rae Quan Aquino, LMHCA
• Ariel Kofoed Inc
• Arkova LLP (Arkova Diagnostics)
• Craig 98466 Armstrong, PTA

• Foot & Ankle Surgery Podiatrist in University Place, WA
• Providers in University Place, 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 Jun 16, 2010; 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.