1. Home
  2. Directory
  3. Washington
  4. Bonney Lake
  5. Podiatrist
  6. NPI Profile

ANKLE & FOOT SPECIALIST OF BONNEY LAKE
NPI 1144401704
Podiatrist - Foot & Ankle Surgery in Bonney Lake, WA

Active since November 23, 2007
19820 HWY 410 EAST, BONNEY LAKE, WA 98391(253) 848-6656(253) 840-6691 Get Directions Write a Review

NPPES record last updated: June 5, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ankle & Foot Specialist Of Bonney Lake NPPES

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

ANKLE & FOOT SPECIALIST OF BONNEY LAKE (NPI 1144401704) is a healthcare organization registered as a foot & ankle surgery in Bonney Lake, Washington and active in the NPI registry since November 2007. The organization lists Tina M Quevedo, Billing Office Supervisor, as its authorized official.

NPPES Registry Identity

NPI1144401704
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NamePUGET SOUND SPECIALTY PHYSICIANS PLLC
Location Address19820 HWY 410 EASTBonney Lake, WA 98391
Mailing Address2728 E Main Ave, Suite APuyallup, WA 98372-3198 · (253) 841-2006 · Fax (253) 840-6691
Phone(253) 848-6656
Fax(253) 840-6691
Organization SubpartYes
Authorized OfficialTina M QuevedoBilling Office Supervisor · (253) 841-2006
Enumeration DateNovember 23, 2007
Last NPPES UpdateJune 5, 2008
✔ NPI 1144401704 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
19820 HWY 410 EAST, Bonney Lake, WA 98391
Open in Google Maps ↗

Other Names 1

Doing Business AsAnkle & Foot Specialist Of Bonney Lake

Other Identifiers 1

Medicare NSC4384630003WA

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

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 1144401704. It was assigned to this organization in the NPPES registry on November 23, 2007. The provider is doing business as Ankle & Foot Specialist Of Bonney Lake.

Where is Puget Sound Specialty Physicians PLLC located?

Puget Sound Specialty Physicians PLLC is located at 19820 Hwy 410 East, Bonney Lake, WA 98391. The listed phone number is (253) 848-6656.

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 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.