Individual provider Active NPI

Joseph N. Hall, DPM,FACFAS

  • Foot & Ankle Surgery Podiatrist
  • Mill Creek, WA
National Provider Identifier
1649231200
Registry record updated Dec 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO00000593 Issued in WA
Practice address
16708 Bothell Everett Hwy
#204
Mill Creek, WA 98012-1500
Phone
(425) 482-6663
Fax
(425) 482-6665
NPI assigned
Mar 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2014

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 PO00000593 WA Primary

Addresses

Primary practice location

16708 Bothell Everett Hwy
#204
Mill Creek, WA 98012-1500

Mailing address

16708 Bothell Everett Hwy
#204
Mill Creek, WA 98012-1500
Phone (425) 482-6663

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
I20100929000933 WA Practitioner - Podiatry 5193616019 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1995
Medicare assignment
May accept Medicare assignment
Group practices
Mill Creek Foot and Ankle Clinic P.C.Group PAC ID 9032000948, 2 clinicians

Practice addresses (Care Compare)

16708 Bothell Everett Hwy
Suite 204
Mill Creek, WA 98012-6345
Phone (425) 482-6663

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue22
Removal of nail tissue181
Removal or shaving of skin growth126

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hansen Foot and Ankle LLC Foot & Ankle Surgery PastSince Apr 1, 2002 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26643/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417564800000",
    "number": "1649231200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16708 BOTHELL EVERETT HWY",
            "address_2": "#204",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980121500",
            "telephone_number": "425-482-6663",
            "fax_number": "425-482-6665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16708 BOTHELL EVERETT HWY",
            "address_2": "#204",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980121500",
            "telephone_number": "425-482-6663",
            "fax_number": "425-482-6665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "JOSEPH",
        "middle_name": "N.",
        "name_prefix": "Mr.",
        "credential": "DPM,FACFAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2014-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WA",
            "license": "PO00000593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mill Creek, WA

Sources for this page

Verify at the official NPI Registry.