Premier Podiatry

Primary specialty

PodiatristTaxonomy code 213E00000X

License

PO60074559 Issued in WA

Legal business name

PREMIER PODIATRY

Practice address

1702 Dexter Ave N
Seattle, WA 98109-3021

Phone

(206) 432-1883

NPI assigned

Nov 15, 2010

Last updated

Feb 14, 2011By 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

Michaela Ostradicky, DPMNPI 1942442975

Title

Owner

Phone

(206) 432-1883

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

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.

• Michaela Ostradicky, DPM

  • Podiatrist
  • Seattle, WA
  • NPI 1942442975
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1289779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297641600000",
    "number": "1336440833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9086",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981090086",
            "telephone_number": "206-432-1883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 DEXTER AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981093021",
            "telephone_number": "206-432-1883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PODIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-15",
        "last_updated": "2011-02-14",
        "status": "A",
        "authorized_official_last_name": "OSTRADICKY",
        "authorized_official_first_name": "MICHAELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-432-1883",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "WA",
            "license": "PO60074559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P00773702",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Premier Behavioral Health Associates, PLLC
• Premier Chiropractic 5 PLLC
• Premier Chiropractic No. 9 PLLC
• Premier Nursing Care Agency
• Premier Nursing Care Agency LLC. (Premier Home Healthcare Agency LLC.)
• Premise Health of Washington Medical PC (The Health Clinic)
• Premise Health of Washington Medical PC (Google Wellness Center)
• Premise Health of Washington Medical PC (Google Wellness Center)
• Premise Health of Washington Medical, P.C (Google Wellness Center)
• Kaleigh Kathleen Prendergast, PA-C

• 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 Feb 14, 2011; 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.