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PUGET SOUND SPECIALTY PHYSICIANS PLLC
NPI 1124203963
Podiatrist - Foot & Ankle Surgery in Puyallup, WA

Active since December 28, 2007
2728 E MAIN AVE, SUITE A, PUYALLUP, WA 98372(253) 841-2006(253) 840-6691 Get Directions Write a Review

NPPES record last updated: June 14, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Puget Sound Specialty Physicians Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PUGET SOUND SPECIALTY PHYSICIANS PLLC (NPI 1124203963) is a healthcare organization registered as a foot & ankle surgery in Puyallup, Washington and active in the NPI registry since December 2007. The organization lists Tina M Quevedo, Billing Supervisor, as its authorized official.

NPPES Registry Identity

NPI1124203963
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NamePUGET SOUND SPECIALTY PHYSICIANS PLLC
Location Address2728 E MAIN AVE, SUITE APuyallup, WA 98372-3198
Mailing Address2728 E Main Ave, Suite APuyallup, WA 98372-3198 · (253) 841-2006 · Fax (253) 840-6691
Phone(253) 841-2006
Fax(253) 840-6691
Organization SubpartNo
Authorized OfficialTina M QuevedoBilling Supervisor · (253) 841-2006
Enumeration DateDecember 28, 2007
Last NPPES UpdateJune 14, 2010
✔ NPI 1124203963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
2728 E MAIN AVE, Puyallup, WA 98372
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Other Identifiers 16

Medicare NSC4384630007WA
Medicare PINAB25244WA
Medicare PINAB25245WA
Medicare PINAB25243WA
Medicare PINGAB25239WA
Medicare NSC4384630004WA
Medicare NSC4384630006WA
Medicare PINAB37681WA
Medicare PINAB37680WA
Medicare NSC4384630003WA
Medicare PINGAB25234WA
Medicare PIN8855254WA
Medicaid7109770WA
Medicare PINAB25238WA
Medicare PIN8855255WA
Medicare PINAB25236WA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHARLES R CHU DPM
Podiatrist
2728 E MAIN AVE, SUITE A
PUYALLUP, WA 98372
Pierce County (253) 841-2006
ANKLE & FOOT SPECIALISTS OF PUGET SOUND, PS
Podiatrist
2728 E MAIN AVE, SUITE A
PUYALLUP, WA 98372
Pierce County (253) 841-2006
PUGET SOUND SPECIALTY PHYSICIANS PLLC
Podiatrist (Foot & Ankle Surgery)
2728 E MAIN AVE, SUITE A
PUYALLUP, WA 98372
Pierce County (253) 841-2006
RONALD S SORENSEN DPM
Podiatrist
2728 E MAIN AVE, SUITE A
PUYALLUP, WA 98372
Pierce County (253) 848-0131

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Puget Sound Specialty Physicians PLLC's NPI number?

The NPI number for Puget Sound Specialty Physicians PLLC is 1124203963. It was assigned to this organization in the NPPES registry on December 28, 2007.

Where is Puget Sound Specialty Physicians PLLC located?

Puget Sound Specialty Physicians PLLC is located at 2728 E Main Ave Suite A, Puyallup, WA 98372. The listed phone number is (253) 841-2006.

What is Puget Sound Specialty Physicians PLLC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

When was this NPI record last updated?

The NPPES record for Puget Sound Specialty Physicians PLLC was last updated on June 14, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.