Michael Brian Vickers, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

PO00000396 Issued in WA

Practice address

4520 42ND Ave SW Ste 34
Seattle, WA 98116-4240

Phone

(206) 937-4700

Fax

(206) 937-4778

NPI assigned

Dec 6, 2006

Last updated

Nov 17, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Swedish Health Services

  • Internal Medicine Physician
  • Seattle, WA
  • NPI 1689612954
  Medicare reassignment NPD
• West Seattle Foot & Ankle Clinic, LLC

  • Foot & Ankle Surgery Podiatrist
  • Seattle, WA
  • NPI 1124206115
  Medicare reassignment NPD
• Associated Valley Providers PLLC

  • Family Medicine Physician
  • Renton, WA
  • NPI 1043490543
  NPD (past)
• West Seattle Foot & Ankle Clinic

  • Podiatric Clinic/Center
  • Seattle, WA
  • NPI 1083819866
  NPD (past)

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637107200000",
    "number": "1336208321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4520 42ND AVE SW STE 34",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981164240",
            "telephone_number": "206-937-4700",
            "fax_number": "206-937-4778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4520 42ND AVE SW STE 34",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981164240",
            "telephone_number": "206-937-4700",
            "fax_number": "206-937-4778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICKERS",
        "first_name": "MICHAEL",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "WA",
            "license": "PO00000396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1027366",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Vicente
• Janyce Ruth Vick, LMFT
• Tiyana Vick, LP61343142
• Aidan Vickers, M.ED., BCBA
• Laurice Samuel Vickers, MD
• Rebekah Vickery, LMHC
• Vicki Fidler DDS PS (Fidler on the Tooth)
• Eric William Vickrey, P.A.
• Victor Ciumacov (A to Z Medical Supply)
• Victor J. Barry, DDS & Michael J. Mulick, DMD & Associates PL LC

• Podiatrist in Seattle, WA
• Providers in Seattle, WA by specialty
• Podiatrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.