Organization Active NPI

Anthony S Karuza, DPM PS Inc

  • Podiatric Clinic/Center
  • Bellingham, WA
National Provider Identifier
1891001921
Registry record updated Aug 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
License
0000289 Issued in WA
Legal business name
ANTHONY S KARUZA, DPM PS INC
Practice address
3120 Squalicum Pkwy Ste 1
Bellingham, WA 98225-1934
Phone
(360) 647-0557
Fax
(360) 733-2892
NPI assigned
Aug 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2010

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

Authorized official

Name
Dr. Anthony Stephen Karuza, DPM
Title
Owner
Phone
(360) 647-0557

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X 0000289 WA Primary

Addresses

Primary practice location

3120 Squalicum Pkwy Ste 1
Bellingham, WA 98225-1934

Mailing address

3120 Squalicum Pkwy Ste 1
Bellingham, WA 98225-1934
Phone (360) 647-0557

Other identifiers 1

IdentifierTypeStateIssuer
1101740MedicaidWA

National Provider Directory

National Provider Directory
Tax ID family
Anthony S Karuza DPM PS Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3120 Squalicum Pkwy
Ste 1
Bellingham, WA 98225
Phone (360) 647-0557

NPI Registry JSON

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

{
    "created_epoch": "1282780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282780800000",
    "number": "1891001921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 SQUALICUM PKWY STE 1",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251934",
            "telephone_number": "360-647-0557",
            "fax_number": "360-733-2892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 SQUALICUM PKWY STE 1",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251934",
            "telephone_number": "360-647-0557",
            "fax_number": "360-733-2892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY S KARUZA, DPM PS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-26",
        "last_updated": "2010-08-26",
        "status": "A",
        "authorized_official_last_name": "KARUZA",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-647-0557",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "WA",
            "license": "0000289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1101740",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2010; 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.