Organization Active NPI

Vancouver Foot and Ankle, PLLC

  • Podiatrist
  • Vancouver, WA
National Provider Identifier
1710201967
Registry record updated Aug 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO00000795 Issued in WA
Legal business name
VANCOUVER FOOT AND ANKLE, PLLC
Practice address
6108 NE Highway 99 Ste 107
Vancouver, WA 98665-8751
Phone
(360) 597-4223
NPI assigned
Mar 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2013

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

Authorized official

Name
Stephen Hayes, DPMNPI 1548254329
Title
Owner
Phone
(360) 597-4223

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)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X PO00000795 WA Primary

Addresses

Primary practice location

6108 NE Highway 99 Ste 107
Vancouver, WA 98665-8751

Mailing address

6108 NE Highway 99 Ste 107
Vancouver, WA 98665-8751
Phone (360) 597-4223

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110314000741 WA Part B Supplier - Clinic/Group Practice 9335321298 Receives reassigned benefits from 3 practitioners
Practice locations: Vancouver, WA
O20110712000466 WA DME Supplier - Physician - Podiatry 9335321298 Practice locations: Vancouver, WA

National Provider Directory

National Provider Directory

Locations

16701 SE McGillivray Blvd
Ste 22
Vancouver, WA 98683

Practitioners & affiliated clinicians

Practitioners 3

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": "1268784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376956800000",
    "number": "1710201967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6108 NE HIGHWAY 99 STE 107",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986658751",
            "telephone_number": "360-597-4223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6108 NE HIGHWAY 99 STE 107",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986658751",
            "telephone_number": "360-597-4223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANCOUVER FOOT AND ANKLE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-17",
        "last_updated": "2013-08-20",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-597-4223",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "WA",
            "license": "PO00000795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2013; 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.