Ata Podiatric and Integrative Medicine, PLLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

PO60295566 Issued in WA

Legal business name

ATA PODIATRIC AND INTEGRATIVE MEDICINE, PLLC

Practice address

1950 Alaskan Way
Apt 526
Seattle, WA 98101-1075

Phone

(404) 210-5620

NPI assigned

Sep 12, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Alexis McKeown, DPMNPI 1700108651

Title

Podiatrist

Phone

(404) 210-5620

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Practitioners 1

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

• Alexis A McKeown, DPM

  • Podiatrist
  • Seattle, WA
  • NPI 1700108651
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1473638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473638400000",
    "number": "1821546540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 ALASKAN WAY",
            "address_2": "APT 526",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 ALASKAN WAY",
            "address_2": "APT 526",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011075",
            "telephone_number": "404-210-5620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATA PODIATRIC AND INTEGRATIVE MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-12",
        "last_updated": "2016-09-12",
        "status": "A",
        "authorized_official_last_name": "MCKEOWN",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "404-210-5620",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WA",
            "license": "PO60295566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allysa Tejano Astudillo
• Truphosa Aswani, MD, MPH
• Toni Aswegan
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• At Mobile Imaging LLC
• Anna Maria Ataei, DPT
• Taoufik Atallah, AAC
• Elena I Atanasova, FNP
• Flora Ataran, MD, MPH
• Mohammedreza Atashzareh

• Foot & Ankle Surgery Podiatrist in Seattle, WA
• Providers in Seattle, 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 Sep 12, 2016; 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.