Active NPI
Joseph Wyham NG, DPM
- Foot & Ankle Surgery Podiatrist
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- P000000319
- Practice address
- 611 12TH Ave S Ste 200
Seattle, WA 98144-1911 - Phone
- (206) 324-9360
- NPI assigned
- Oct 19, 2006
- Sex
- Male
- Sole proprietor
- No
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 | P000000319 | WA | Primary |
Addresses
Primary practice location
611 12TH Ave S Ste 200
Seattle, WA 98144-1911
Mailing address
611 12TH Ave S
Ste 200
Seattle, WA 98144-1911
Phone (206) 324-9360
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1297506 | Medicaid | WA | |
| 71502 | Other | WA | L & I |
| NG0036 | Other | REGENCE |
Other names 1
- Wyham Joseph NG
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
- California School of Podiatric Medicine, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16549 Aurora Ave N
Shoreline, WA 98133-5308
Phone (206) 533-2600
3815 S Othello St
FL 2
Seattle, WA 98118-3510
Phone (206) 788-3500
718 8TH Ave S
Seattle, WA 98104-3006
Phone (206) 788-3505
720 8TH Ave S
Suite 100
Seattle, WA 98104-3033
Phone (206) 788-3700
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P000000319 | WA | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seattle Indian Health Board | Current | Accepting new patients | |
| International Community Health Services | Current | Accepting new patients | |
| International Community Health Services | Current | Accepting new patients | |
| International Community Health Services | Current | Accepting new patients | |
| Seattle Indian Health Board | Current | Accepting new patients | |
| East Hill Foot and Ankle Clinic | Foot & Ankle Surgery | Past | Accepting new patients |
Locations
1050 140th Ave NE
Bellevue, WA 98005
Phone (425) 373-3000
611 12th Ave S
Ste 200
Seattle, WA 98144
Phone (206) 324-9360
611 12th Ave S
Seattle, WA 98144
Phone (206) 324-9360
720 8th Ave S
Seattle, WA 98104
Phone (206) 788-3770
3815 S Othello St
Fl 2
Seattle, WA 98118
Phone (206) 788-3500
Interoperability endpoints
- wng348599@direct.ochin.org
- jng1186632@wm.providencedirect.org
Organizations & group practices 6
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.
-
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1376659151
-
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1316012461
-
- Foot & Ankle Surgery Podiatrist
- Kent, WA
- NPI 1063691012
-
- Federally Qualified Health Center (FQHC)
- Auburn, WA
- NPI 1831910439
-
- Federally Qualified Health Center (FQHC)
- Shoreline, WA
- NPI 1992124747
-
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1922673367
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1609958586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 12TH AVE S",
"address_2": "STE 200",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981441911",
"telephone_number": "206-324-9360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 12TH AVE S STE 200",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981441911",
"telephone_number": "206-324-9360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NG",
"first_name": "JOSEPH",
"middle_name": "WYHAM",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-19",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "WA",
"license": "P000000319",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1297506",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L & I",
"identifier": "71502",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE",
"identifier": "NG0036",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "WYHAM",
"last_name": "NG",
"middle_name": "JOSEPH",
"credential": "DPM",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.