Family Foot Health Center Inc.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

PO 00000441 Issued in WA

Legal business name

FAMILY FOOT HEALTH CENTER INC.

Practice address

11212 Sunrise Blvd E
# 203
Puyallup, WA 98374-8847

Phone

(253) 841-4262

Fax

(253) 841-7112

NPI assigned

Nov 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Timothy S Grace, DPM

Title

President of Corporation

Phone

(253) 841-4262

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Mark Thomas Lewis, DPM

  • Podiatrist
  • Renton, WA
  • NPI 1770581910
  NPD (past)

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305849600000",
    "number": "1811177975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11212 SUNRISE BLVD E",
            "address_2": "# 203",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983748847",
            "telephone_number": "253-841-4262",
            "fax_number": "253-841-7112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11212 SUNRISE BLVD E",
            "address_2": "# 203",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983748847",
            "telephone_number": "253-841-4262",
            "fax_number": "253-841-7112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FOOT HEALTH CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-06",
        "last_updated": "2011-05-20",
        "status": "A",
        "authorized_official_last_name": "GRACE",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT OF CORPORATION",
        "authorized_official_telephone_number": "253-841-4262",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "WA",
            "license": "PO 00000441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I GRP",
            "identifier": "59623",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lizbeth Fabian, RPH
• Jordan Marie Fahey, ACSM-CEP
• Kaara Fairbanks
• Family First Chiropractic
• Family Foot Clinic Inc
• Jenny Fang
• Shannon S Farazi, D.M.D.
• Steve Roy Farley
• Jaclyn Farmer
• Jason Farmer

• Podiatrist in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Podiatrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2011; 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.