Individual provider Active NPI

Zachary Zan Stanfield, DPM

  • Foot & Ankle Surgery Podiatrist
  • Bonney Lake, WA
National Provider Identifier
1588010359
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO61048742 Issued in WA
Practice address
10004 204TH Ave E Ste 2700
Bonney Lake, WA 98391-6536
Phone
(253) 862-1967
Fax
(253) 862-1191
NPI assigned
May 10, 2016
Last updated
Jul 6, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X PO61048742 WA Primary

Addresses

Primary practice location

10004 204TH Ave E Ste 2700
Bonney Lake, WA 98391-6536

Mailing address

10004 204TH Ave E Ste 2700
Bonney Lake, WA 98391-6536
Phone (253) 862-1967

Other practice location 1

2820 Griffin Ave Ste 101
Enumclaw, WA 98022-2373
Phone (360) 825-2181

Other practice location 2

21137 SR 410 E Ste I
Bonney Lake, WA 98391-8775
Phone (800) 425-2805

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200526002325 WA Practitioner - Podiatry 0749601979 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1450 5TH St SE
Suite 4400
Puyallup, WA 98372-4691
Phone (253) 256-7048

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue87
Removal of skin lesions1-10
Removal of nail tissue291
Removal or shaving of skin growth143

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ankle & Foot Specialists of Puget Sound, PS Podiatrist CurrentSince Jul 15, 2020 Accepting new patients
Innovative Wound Healing & Dermatology CurrentSince Jun 1, 2023 Accepting new patients
Ankle & Foot Specialists of Puget Sound, PS Podiatrist Current Accepting new patients
Ankle & Foot Specialists of Puget Sound, PS Podiatrist CurrentSince Jul 15, 2020 Accepting new patients

Locations

10004 204th Ave E
Ste 2700
Bonney Lake, WA 98391
Phone (253) 848-6656

21137 State Route 410 E
Ste I
Bonney Lake, WA 98391
Phone (253) 862-5275

2820 Griffin Ave
Enumclaw, WA 98022
Phone (360) 802-5231

2820 Griffin Ave
Ste 101
Enumclaw, WA 98022
Phone (360) 825-2181

751 NE Blakely Dr
Issaquah, WA 98029
Phone (425) 313-4000

1450 5th St SE
Ste 4400
Puyallup, WA 98372
Phone (253) 697-2340

2728 E Main
Ste A
Puyallup, WA 98372
Phone (253) 841-2006

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ez_00164
  • Direct secure messaging: zachary.stanfield.1@19643.direct.athenahealth.com
  • Direct secure messaging: zstanfield@aafsopsp-wa.direct.office.nextgen.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1462838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1588010359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10004 204TH AVE E STE 2700",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "983916536",
            "telephone_number": "253-862-1967",
            "fax_number": "253-862-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10004 204TH AVE E STE 2700",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "983916536",
            "telephone_number": "253-862-1967",
            "fax_number": "253-862-1191"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2820 Griffin Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Enumclaw",
            "state": "WA",
            "postal_code": "980222373",
            "country_code": "US",
            "telephone_number": "360-825-2181",
            "fax_number": "360-825-8354",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21137 SR 410 E Ste I",
            "address_purpose": "LOCATION",
            "city": "Bonney Lake",
            "state": "WA",
            "postal_code": "983918775",
            "country_code": "US",
            "telephone_number": "800-425-2805",
            "fax_number": "855-673-1403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STANFIELD",
        "first_name": "ZACHARY",
        "middle_name": "ZAN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-10",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WA",
            "license": "PO61048742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonney Lake, WA

Sources for this page

Verify at the official NPI Registry.