Port Townsend Foot and Ankle Clinic PS

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

PO00000797 Issued in WA

Legal business name

PORT TOWNSEND FOOT AND ANKLE CLINIC PS

Practice address

204 Gaines St
Port Townsend, WA 98368-6902

Phone

(360) 385-6486

Fax

(360) 385-6486

NPI assigned

Feb 8, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jessica L Lund, DPM

Title

President

Phone

(360) 385-6486

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 3

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

• Bradley M Pederson, DPM

  • Podiatrist
  • Port Angeles, WA
  • NPI 1598851081
  NPD (past)
• Steven Reiner, D.P.M.

  • Podiatrist
  • Port Townsend, WA
  • NPI 1083636393
  NPD (past)
• Kirk D Sherris, DPM

  • Foot & Ankle Surgery Podiatrist
  • Poulsbo, WA
  • NPI 1710073879
  NPD (past)

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235001600000",
    "number": "1982745600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11009",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985081009",
            "telephone_number": "360-352-2037",
            "fax_number": "360-352-0637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 GAINES ST",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "983686902",
            "telephone_number": "360-385-6486",
            "fax_number": "360-385-6486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORT TOWNSEND FOOT AND ANKLE CLINIC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2009-02-19",
        "status": "A",
        "authorized_official_last_name": "LUND",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-385-6486",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "WA",
            "license": "PO00000797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "0216774",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P00371973",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1123595",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia Lee Pladsen, LMT
• Stella Aragon Poe, RDH
• Point Wilson Anesthesia, PC
• Janet Lynn Polley
• Port Townsend Chiropractic Center, PS
• Port Townsend Orthopaedics & Sports Medicine, PLLC
• Port Townsend Pharmacy Inc.
• Port Townsend Pharmacy Inc.
• Port Townsend Psychiatric Medicine
• Port Townsend School District

• Foot Surgery Podiatrist in Port Townsend, WA
• Providers in Port Townsend, WA by specialty
• Foot Surgery Podiatrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2009; 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.