West Campus Foot & Ankle Clinic Inc

Primary specialty

PodiatristTaxonomy code 213E00000X

License

PO00000669 Issued in WA

Legal business name

WEST CAMPUS FOOT & ANKLE CLINIC INC

Practice address

33801 1St Way S
Suite 105
Federal Way, WA 98003-4546

Phone

(253) 838-8377

Fax

(253) 838-9474

NPI assigned

Nov 19, 2014

Last updated

Mar 10, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael J. Frazier, DPMNPI 1881686731

Title

Physician

Phone

(253) 838-8377

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA2 enrollments

Enrollment records 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael James Frazier, DPM

  • Podiatrist
  • Federal Way, WA
  • NPI 1881686731
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1416355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425945600000",
    "number": "1700283793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33801 1ST WAY S",
            "address_2": "SUITE 105",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980034546",
            "telephone_number": "253-838-8377",
            "fax_number": "253-838-9474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33801 1ST WAY S",
            "address_2": "SUITE 105",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980034546",
            "telephone_number": "253-838-8377",
            "fax_number": "253-838-9474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST CAMPUS FOOT & ANKLE CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-19",
        "last_updated": "2015-03-10",
        "status": "A",
        "authorized_official_last_name": "FRAZIER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "253-838-8377",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "WA",
            "license": "PO00000669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1881686731",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Welu Healthcare Inc (Highland Pharmacy)
• Wema Care Senior Living LLC
• John S Wendt, MD
• Jack Allen Wesson, CDP
• West Campus Dental Center
• West Campus Sport & Orthopedic Physical PS Inc.
• Michelle Lee West, LPN
• Sarah S West, ARNP
• Tracy Joan Westbrook, LMP
• Western Washington Endoscopy Centers LLC (Digestive Health Network Endoscopy Center)

• Podiatrist in Federal Way, WA
• Providers in Federal Way, WA by specialty
• Podiatrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2015; 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.