Puget Sound Specialty Physicians PLLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

PUGET SOUND SPECIALTY PHYSICIANS PLLC

Doing business as

Factoria Foot & Ankle Clinic

Practice address

4140 Factoria Blvd SE
Suite 1B
Bellevue, WA 98006-5261

Phone

(425) 644-2313

Fax

(425) 644-4739

NPI assigned

Oct 30, 2007

Last updated

Jun 5, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

PUGET SOUND SPECIALTY PHYSICIANS PLLCAs reported in NPPES

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

Authorized official

Name

Tina M Quevedo

Title

Billing Office Supervisor

Phone

(253) 841-2006

Specialties & licenses 1

Addresses

Other names 1

• Factoria Foot & Ankle Clinic Doing business as

Part of

Puget Sound Specialty Physicans PLLC

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212624000000",
    "number": "1760661334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2728 E MAIN AVE",
            "address_2": "SUITE A",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983723198",
            "telephone_number": "253-841-2006",
            "fax_number": "253-840-6691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4140 FACTORIA BLVD SE",
            "address_2": "SUITE 1B",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980065261",
            "telephone_number": "425-644-2313",
            "fax_number": "425-644-4739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUGET SOUND SPECIALTY PHYSICIANS PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PUGET SOUND SPECIALTY PHYSICIANS PLLC",
        "enumeration_date": "2007-10-30",
        "last_updated": "2008-06-05",
        "status": "A",
        "authorized_official_last_name": "QUEVEDO",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BILLING OFFICE SUPERVISOR",
        "authorized_official_telephone_number": "253-841-2006"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Factoria Foot & Ankle Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laura Marie Pucher, MA, LMHC
• Puget Sound Anesthesia Service, PLLC
• Puget Sound Physicians PLLC
• Puget Sound Plastic Surgical Group, PLLC (Dr. Bryan McIntosh)
• Puget Sound Plastic Surgical Group, PLLC
• Alan Pugh
• Lisa Alexius Pujol Boe, MD
• Puneetllc (Bannerwood Cosmetic and Family Dentistry)
• Shae Nicole Purdue
• Pure Chiropractic 1 PLLC

• Foot & Ankle Surgery Podiatrist in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Foot & Ankle Surgery Podiatrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.