Active NPI
Howard Schaengold, D.P.M.
- Sports Medicine Podiatrist
- Sammamish, WA
National Provider Identifier
1891798955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine Podiatrist
- License
- PO00000461
- Practice address
- 466 228TH Ave NE
Sammamish, WA 98074-7209 - Phone
- (425) 868-3338
- Fax
- (425) 836-9211
- NPI assigned
- May 23, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine Podiatrist | 213ES0000X | PO00000461 | WA | Primary |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PO00000461 | WA |
Addresses
Primary practice location
466 228TH Ave NE
Sammamish, WA 98074-7209
Mailing address
466 228TH Ave NE
Sammamish, WA 98074-7209
Phone (425) 868-3338
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SC2771 | Other | WA | REGENCE |
| 0056984 | Other | WA | LABOR & INDUSTRY |
| 1068147 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PO00000461 | WA | MD | Sports Medicine Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1230508800000",
"number": "1891798955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "466 228TH AVE NE",
"city": "SAMMAMISH",
"state": "WA",
"postal_code": "980747209",
"telephone_number": "425-868-3338",
"fax_number": "425-836-9211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "466 228TH AVE NE",
"city": "SAMMAMISH",
"state": "WA",
"postal_code": "980747209",
"telephone_number": "425-868-3338",
"fax_number": "425-836-9211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHAENGOLD",
"first_name": "HOWARD",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-05-23",
"last_updated": "2008-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0000X",
"taxonomy_group": "",
"desc": "Podiatrist, Sports Medicine",
"state": "WA",
"license": "PO00000461",
"primary": true
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "WA",
"license": "PO00000461",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE",
"identifier": "SC2771",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & INDUSTRY",
"identifier": "0056984",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1068147",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sammamish, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.