Organization Active NPI

Foot and Ankle Surgical Associates

  • Podiatric Clinic/Center
  • Centralia, WA
National Provider Identifier
1508048091
Registry record updated Mar 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
License
PO00000517 Issued in WA
Legal business name
FOOT AND ANKLE SURGICAL ASSOCIATES
Practice address
1220 W 1St St
Ste B
Centralia, WA 98531-3018
Phone
(360) 736-4151
NPI assigned
Nov 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2008

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

Authorized official

Name
Terrence Eugene Hess, DPM
Title
Doctor/Owner
Phone
(360) 754-3338

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X PO00000517 WA Primary

Addresses

Primary practice location

1220 W 1St St
Ste B
Centralia, WA 98531-3018

Mailing address

1220 W 1St St
Centralia, WA 98531-3018
Phone (360) 736-4151

National Provider Directory

National Provider Directory

Locations

1220 W 1st St
Centralia, WA 98531

NPI Registry JSON

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

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1508048091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 W 1ST ST",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985313018",
            "telephone_number": "360-736-4151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 W 1ST ST",
            "address_2": "STE B",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985313018",
            "telephone_number": "360-736-4151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT AND ANKLE SURGICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-27",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "HESS",
        "authorized_official_first_name": "TERRENCE",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "360-754-3338",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "WA",
            "license": "PO00000517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centralia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.