Foot & Ankle Inc

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

PO00000286 Issued in WA

Legal business name

FOOT & ANKLE INC

Doing business as

Foot & Ankle Center of Lake City

Practice address

2611 NE 125TH St
Ste 130
Seattle, WA 98125-4373

Phone

(206) 368-7000

Fax

(206) 361-9273

NPI assigned

Apr 19, 2007

Organization subpart

No

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

Authorized official

Name

Rion Agar Berg, DPMNPI 1649342643

Title

Owner, Director

Phone

(206) 368-7000

Specialties & licenses 1

Addresses

Other names 1

• Foot & Ankle Center of Lake City Doing business as

Medicare fee-for-service enrollment

Enrolled in WA2 enrollments

Enrollment records 2

Locations

Practitioners 2

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

• Rion Agar Berg, D.P.M.

  • Podiatrist
  • Seattle, WA
  • NPI 1649342643
  Medicare reassignment NPD Authorized official
• Robyn Winner Paloian, DPM

  • Podiatrist
  • Madison, WI
  • NPI 1255485926
  NPD (past)

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334707200000",
    "number": "1669699781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2611 NE 125TH ST",
            "address_2": "STE 130",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981254373",
            "telephone_number": "206-368-7000",
            "fax_number": "206-361-9273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2611 NE 125TH ST",
            "address_2": "STE 130",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981254373",
            "telephone_number": "206-368-7000",
            "fax_number": "206-361-9273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT & ANKLE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2012-04-18",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "RION",
        "authorized_official_middle_name": "AGAR",
        "authorized_official_title_or_position": "OWNER, DIRECTOR",
        "authorized_official_telephone_number": "206-368-7000",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "WA",
            "license": "PO00000286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foot & Ankle Center of Lake City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle Deon Fontenot, M.ED
• Samantha Fonteyne-Crescioni
• Garrett Fonteyne
• Natacha M.R. Foo Kune, PH.D.
• Cheryl Elaine Foos, RN
• Claire R Foote, ARNP BC
• Footworks Physical Therapy, LLC
• For a Child, LLC
• Amy M. Forbes, LMHC, MHP, GMHS
• Amy S Forbes, DPT

• Primary Podiatric Medicine Podiatrist in Seattle, WA
• Providers in Seattle, WA by specialty
• Primary Podiatric Medicine Podiatrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; 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.