Family Foot and Ankle Care Incorporation

Primary specialty

PodiatristTaxonomy code 213E00000X

License

P000000673 Issued in WA

Legal business name

FAMILY FOOT AND ANKLE CARE INCORPORATION

Practice address

1100 SW Bowmer St
Ste a-103
Oak Harbor, WA 98277-3119

Phone

(360) 679-3117

Fax

(360) 679-3118

NPI assigned

Mar 12, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Jon R Tiessen, DPMNPI 1912918665

Title

Physician

Phone

(360) 679-3117

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 3

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

• Jon R Tiessen, DPM

  • Podiatrist
  • Oak Harbor, WA
  • NPI 1912918665
  Medicare reassignment Authorized official
• Timothy Ellis Messmer, D.P.M.

  • Podiatrist
  • Mount Vernon, WA
  • NPI 1477552701
  NPD (past)
• Stephen J Miller, D.P.M.

  • Podiatrist
  • Mount Vernon, WA
  • NPI 1083613277
  NPD (past)

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

{
    "created_epoch": "1205280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216598400000",
    "number": "1669643102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 SW BOWMER ST",
            "address_2": "STE A-103",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982773119",
            "telephone_number": "360-679-3117",
            "fax_number": "360-679-3118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 SW BOWMER ST",
            "address_2": "STE A-103",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982773119",
            "telephone_number": "360-679-3117",
            "fax_number": "360-679-3118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FOOT AND ANKLE CARE INCORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-12",
        "last_updated": "2008-07-21",
        "status": "A",
        "authorized_official_last_name": "TIESSEN",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "360-679-3117",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "WA",
            "license": "P000000673",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1119163",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Travis Erickson, DO
• William Charles Eskridge, PHARMD
• Even Flow, LLC
• Family Care Health Information Network, Incorporated
• Family Dermatology Co
• Melissa Ethridge Farrell, RN
• Susan Farris, M.S., CCC-SLP
• Diana Fedele
• Kimberly Marie Ferguson, PA-C
• Steven R. Ferronato, MD

• Podiatrist in Oak Harbor, WA
• Providers in Oak Harbor, WA by specialty
• Podiatrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; 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.