Active NPI
Battle Ground Foot and Ankle
- Podiatrist
- Battle Ground, WA
National Provider Identifier
1295760122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- PO00000795
- Legal business name
- BATTLE GROUND FOOT AND ANKLE
- Practice address
- 1710 W Main St Ste 221
Battle Ground, WA 98604-4317 - Phone
- (360) 687-3668
- NPI assigned
- Jul 11, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephen Hayes, DPM
- Title
- Owner
- Phone
- (360) 687-3668
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | PO00000795 | WA | Primary |
Addresses
Primary practice location
1710 W Main St Ste 221
Battle Ground, WA 98604-4317
Mailing address
1710 W Main St Ste 221
Battle Ground, WA 98604-4317
Phone (360) 687-3668
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8481913 | Medicaid | WA | |
| 7137821 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 2
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Longview, WA
- NPI 1033712526
-
- Family Nurse Practitioner
- Vancouver, WA
- NPI 1821966755
-
- Podiatrist
- Albany, OR
- NPI 1548571136
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1376956800000",
"number": "1295760122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1710 W MAIN ST STE 221",
"city": "BATTLE GROUND",
"state": "WA",
"postal_code": "986044317",
"telephone_number": "360-687-3668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1710 W MAIN ST STE 221",
"city": "BATTLE GROUND",
"state": "WA",
"postal_code": "986044317",
"telephone_number": "360-687-3668"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BATTLE GROUND FOOT AND ANKLE",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-11",
"last_updated": "2013-08-20",
"status": "A",
"authorized_official_last_name": "HAYES",
"authorized_official_first_name": "STEPHEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "360-687-3668",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "WA",
"license": "PO00000795",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8481913",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7137821",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Battle Ground, WA
- Battle Ground Advantage Chiropractic PS
- Battle Ground Chiropractic
- Battle Ground Chiropractic, PS
- Battle Ground Chiropratic
- Battle Ground Family Chiropractic Inc.
- Battle Ground Healing Arts
- Battle Ground Healthcare
- Battle Ground Pharmacy Inc
- Battle Ground Physical Therapy Inc
- Battle Ground School District
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2013; 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.