Active NPI
Family Foot Care, P.S.
- Foot Surgery Podiatrist
- Bellingham, WA
National Provider Identifier
1609998004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- PO00000490
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1078096 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050728001271 | WA | Part B Supplier - Clinic/Group Practice | 7719915990 |
Receives reassigned benefits from 1 practitioner Practice locations: Bellingham, WA |
National Provider Directory
National Provider DirectoryLocations
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.