Active NPI
Paul W Aufderheide DPM
- Podiatrist
- Silverdale, WA
National Provider Identifier
1932280443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- PO00000335
- Legal business name
- PAUL W AUFDERHEIDE DPM
- Practice address
- 9633 Levin Rd NW
Paul W Aufderheide Suite 202
Silverdale, WA 98383 - Phone
- (360) 698-2505
- Fax
- (360) 698-2514
- NPI assigned
- Oct 18, 2006
- Organization subpart
- Yes
- Parent organization
- PAUL W AUFDERHEIDE DPM
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Paul W Aufderheide, DPM
- Title
- Owner
- Phone
- (360) 698-2505
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | PO00000335 | WA | Primary |
Addresses
Primary practice location
9633 Levin Rd NW
Paul W Aufderheide Suite 202
Silverdale, WA 98383
Mailing address
9633 Levin Rd NW
Paul W Aufderheide Suite 202
Silverdale, WA 98383-8131
Phone (360) 698-2505
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7125180 | Medicaid | WA | |
| 0188447 | Other | WA | L&I |
National Provider Directory
National Provider Directory- Part of
- Paul W Aufderheide DPM
Locations
9633 Levin Rd NW
Ste 202
Silverdale, WA 98383
Phone (360) 692-7643
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- Silverdale, WA
- NPI 1730260241
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1200960000000",
"number": "1932280443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9633 LEVIN RD NW",
"address_2": "PAUL W AUFDERHEIDE SUITE 202",
"city": "SILVERDALE",
"state": "WA",
"postal_code": "983838131",
"telephone_number": "360-698-2505",
"fax_number": "360-698-2514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9633 LEVIN RD NW",
"address_2": "PAUL W AUFDERHEIDE SUITE 202",
"city": "SILVERDALE",
"state": "WA",
"postal_code": "98383",
"telephone_number": "360-698-2505",
"fax_number": "360-698-2514"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAUL W AUFDERHEIDE DPM",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PAUL W AUFDERHEIDE DPM",
"enumeration_date": "2006-10-18",
"last_updated": "2008-01-22",
"status": "A",
"authorized_official_last_name": "AUFDERHEIDE",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "360-698-2505",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "WA",
"license": "PO00000335",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7125180",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I",
"identifier": "0188447",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Silverdale, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.