Active NPI
Gregory Hanks, DPM
- Foot & Ankle Surgery Podiatrist
- Silverdale, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- PO61440975
- Practice address
- 10049 Kitsap Mall Blvd NW Ste 109
Silverdale, WA 98383-8901 - Phone
- (360) 698-2505
- Fax
- (360) 698-2514
- NPI assigned
- Sep 16, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PO61440975 | WA | Primary |
Addresses
Primary practice location
10049 Kitsap Mall Blvd NW Ste 109
Silverdale, WA 98383-8901
Mailing address
10049 Kitsap Mall Blvd NW Ste 109
Silverdale, WA 98383-8901
Phone (360) 698-2505
Other practice location 1
543 Eureka Way
Sequim, WA 98382-5074
Phone (360) 683-0164
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10049 Kitsap Mall Blvd NW
Suite 109
Silverdale, WA 98383-8901
Phone (360) 698-2505
742 Lebo Blvd
Suite a
Bremerton, WA 98310-3325
Phone (360) 744-4950
Hospital & facility affiliations
- St Michael Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 453 |
| Removal of nail tissue | 789 |
| Removal or shaving of skin growth | 206 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PO61440975 | WA | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franciscan Medical Group | Single Specialty | Current | Accepting new patients |
| Kitsap Podiatry PLLC | Single Specialty | Current | Accepting new patients |
| Franciscan Medical Group | Single Specialty | Current | Accepting new patients |
| Franciscan Medical Group | Past | Accepting new patients |
Locations
742 Lebo Blvd
Ste A
Bremerton, WA 98310
Phone (360) 744-4950
543 Eureka Way
Sequim, WA 98382
Phone (360) 683-0164
10049 Kitsap Mall Blvd NW
Ste 109
Silverdale, WA 98383
Phone (360) 698-2224
10049 Kitsap Mall Blvd NW
Silverdale, WA 98383
Phone (360) 373-6966
1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Silverdale, WA
- NPI 1093165334
Single Specialty
-
- Family Medicine Physician
- Gig Harbor, WA
- NPI 1386602555
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Silverdale, WA
- NPI 1518912609
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708560000000",
"number": "1346890944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10049 KITSAP MALL BLVD NW STE 109",
"city": "SILVERDALE",
"state": "WA",
"postal_code": "983838901",
"telephone_number": "360-698-2505",
"fax_number": "360-698-2514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10049 KITSAP MALL BLVD NW STE 109",
"city": "SILVERDALE",
"state": "WA",
"postal_code": "983838901",
"telephone_number": "360-698-2505",
"fax_number": "360-698-2514"
}
],
"practiceLocations": [
{
"address_1": "543 Eureka Way",
"address_purpose": "LOCATION",
"city": "Sequim",
"state": "WA",
"postal_code": "983825074",
"country_code": "US",
"telephone_number": "360-683-0164",
"fax_number": "360-683-2766",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HANKS",
"first_name": "GREGORY",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-09-16",
"last_updated": "2024-02-22",
"certification_date": "2024-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "WA",
"license": "PO61440975",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Silverdale, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.