Organization Active NPI

Family Foot Care, P.S.

  • Foot Surgery Podiatrist
  • Bellingham, WA
National Provider Identifier
1609998004
Registry record updated Nov 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
PO00000490 Issued in WA
Legal business name
FAMILY FOOT CARE, P.S.
Practice address
234 36TH St
Bellingham, WA 98225-6540
Phone
(360) 738-9797
NPI assigned
Apr 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2009

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

Authorized official

Name
Michael Alan Sherwin, D.P.M.NPI 1487792966
Title
President
Phone
(360) 738-9797

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 Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X PO00000490 WA Primary

Addresses

Primary practice location

234 36TH St
Bellingham, WA 98225-6540

Mailing address

234 36TH St
Bellingham, WA 98225-6540
Phone (360) 738-9797

Other identifiers 1

IdentifierTypeStateIssuer
1078096MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050728001271 WA Part B Supplier - Clinic/Group Practice 7719915990 Receives reassigned benefits from 1 practitioner
Practice locations: Bellingham, WA

National Provider Directory

National Provider Directory

Locations

234 36th St
Bellingham, WA 98225
Phone (360) 647-3484

2000 Broadway
Bellingham, WA 98225
Phone (360) 647-3484

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258934400000",
    "number": "1609998004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 36TH ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982256540",
            "telephone_number": "360-738-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 36TH ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982256540",
            "telephone_number": "360-738-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FOOT CARE, P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2009-11-23",
        "status": "A",
        "authorized_official_last_name": "SHERWIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-738-9797",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "WA",
            "license": "PO00000490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1078096",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.