Northwest Foot & Ankle Associates, P.S.

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

PO0000489 Issued in WA

Legal business name

NORTHWEST FOOT & ANKLE ASSOCIATES, P.S.

Doing business as

Edmonds Surgery Center

Practice address

21229 84TH Ave W
Edmonds, WA 98026-7304

Phone

(425) 775-1505

Fax

(425) 775-9078

NPI assigned

Mar 2, 2007

Last updated

Dec 20, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cheryl Ann Moore

Title

Billing Manager

Phone

(425) 775-1505

Specialties & licenses 2

Addresses

Other names 1

• Edmonds Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Northwest Foot & Ankle Associates, P.S.

  dba Active Foot & Ankle

  • Foot & Ankle Surgery Podiatrist
  • Seattle, WA
  • NPI 1881860591

  O20070904000382

  Same enrollment

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark A Kuzel, D.P.M.

  • Podiatrist
  • Edmonds, WA
  • NPI 1447324330
  Medicare reassignment NPD

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387497600000",
    "number": "1992833594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21229 84TH AVE W",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267304",
            "telephone_number": "425-775-1505",
            "fax_number": "425-775-9078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21229 84TH AVE W",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267304",
            "telephone_number": "425-775-1505",
            "fax_number": "425-775-9078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST FOOT & ANKLE ASSOCIATES, P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2013-12-20",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "425-775-1505"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "WA",
            "license": "PO0000489",
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "WA",
            "license": "PO0000489",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edmonds Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Northwest Foot & Ankle Associates, P.S. (Edmonds Surgery Center)
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• Northwest Pulmonology Physicians PC
• Robert Anthony Norum, MD
• Lisa Dawn Nott, COTA/L
• Nova Family Resource and Childcare Center, LLC

• Primary Podiatric Medicine Podiatrist in Edmonds, WA
• Providers in Edmonds, WA by specialty
• Primary Podiatric Medicine Podiatrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.