Individual provider Active NPI

Erum Abdul Quadeer, DPM

  • Foot & Ankle Surgery Podiatrist
  • Tumwater, WA
National Provider Identifier
1871748079
Registry record updated Dec 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO60409692 Issued in WA
Practice address
1610 Bishop Rd SW
Ste 101
Tumwater, WA 98512-7303
Phone
(360) 754-3338
Fax
(360) 753-4861
NPI assigned
Dec 2, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X PO60409692 WA Primary

Addresses

Primary practice location

1610 Bishop Rd SW
Ste 101
Tumwater, WA 98512-7303

Mailing address

1610 Bishop Rd SW
Suite 101
Tumwater, WA 98512-7303
Phone (360) 754-3338

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140903000181 WA Practitioner - Podiatry 3971640780 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
287OKMDMarriage & Family Therapist
PO60409692WAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Fasa Family Wellness, PLLC Current Accepting new patients
Fasa Family Wellness, PLLC Foot & Ankle Surgery CurrentSince Apr 1, 2015 Accepting new patients
Fasa Family Wellness PLLC Foot & Ankle Surgery CurrentSince Apr 1, 2015 Accepting new patients
Jondelle Jenkins Foot & Ankle Surgery Past Accepting new patients

Locations

1220 W 1st St
#B
Centralia, WA 98531
Phone (360) 736-4151

1610 Bishop Rd SW
Ste 101
Tumwater, WA 98512
Phone (360) 754-3338

1610 Bishop Rd SW
Ste 7
Tumwater, WA 98512
Phone (360) 754-3338

201 Tahoma Blvd
Unit 208
Yelm, WA 98597
Phone (360) 400-3338

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1228176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481587200000",
    "number": "1871748079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 BISHOP RD SW",
            "address_2": "SUITE 101",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985127303",
            "telephone_number": "360-754-3338",
            "fax_number": "360-753-4861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 BISHOP RD SW",
            "address_2": "STE 101",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985127303",
            "telephone_number": "360-754-3338",
            "fax_number": "360-753-4861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUADEER",
        "first_name": "ERUM",
        "middle_name": "ABDUL",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-02",
        "last_updated": "2016-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WA",
            "license": "PO60409692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tumwater, WA

Sources for this page

Verify at the official NPI Registry.