Organization Active NPI

Ankle and Foot Physicians and Surgeons PLLC

Doing business as Ankle and Foot Physicians and Surgeons

  • Foot & Ankle Surgery Podiatrist
  • Vancouver, WA
National Provider Identifier
1508182460
Registry record updated May 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
ANKLE AND FOOT PHYSICIANS AND SURGEONS PLLC
Doing business as
Ankle and Foot Physicians and Surgeons
Practice address
601 SE 117TH Ave Ste 240
Vancouver, WA 98683-5297
Phone
(360) 977-7815
Fax
(888) 568-4875
NPI assigned
Apr 15, 2010
Last updated
May 12, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2020

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

Authorized official

Name
Ellen Mercedes Wenzel, DPMNPI 1205152576
Title
Manager/Member
Phone
(360) 977-7815

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)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X WA Primary

Addresses

Primary practice location

601 SE 117TH Ave Ste 240
Vancouver, WA 98683-5297

Mailing address

601 SE 117TH Ave Ste 240
Vancouver, WA 98683-5297
Phone (360) 977-7815

Other names 1

  • Ankle and Foot Physicians and Surgeons Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100702000241 WA Part B Supplier - Clinic/Group Practice 5698806875 Receives reassigned benefits from 2 practitioners
Practice locations: Vancouver, WA
O20100930049838 WA DME Supplier - Physician - Podiatry 5698806875 Practice locations: Vancouver, WA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2160905Ankle and Foot Physicians and Surgeons PLLC601 SE 117TH Ave Ste 240, Vancouver, WA 98683Provider-performed microscopyApr 4, 2028

National Provider Directory

National Provider Directory

Locations

601 SE 117th Ave
Ste 240
Vancouver, WA 98683
Phone (360) 977-7815

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1271289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589241600000",
    "number": "1508182460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 SE 117TH AVE STE 240",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986835297",
            "telephone_number": "360-977-7815",
            "fax_number": "888-568-4875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 SE 117TH AVE STE 240",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986835297",
            "telephone_number": "360-977-7815",
            "fax_number": "888-568-4875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANKLE AND FOOT PHYSICIANS AND SURGEONS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-15",
        "last_updated": "2020-05-12",
        "certification_date": "2020-05-12",
        "status": "A",
        "authorized_official_last_name": "WENZEL",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "MERCEDES",
        "authorized_official_title_or_position": "MANAGER/MEMBER",
        "authorized_official_telephone_number": "360-977-7815",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ankle and Foot Physicians and Surgeons",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ankle and Foot Physicians and Surgeons",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.