NORTHWEST FOOT AND ANKLE PHYSICIANS AND SURGEONS, LLC
NPI 1477640779
Podiatrist in Everett, WA

Active since October 06, 2006
10821 19TH AVE SE, EVERETT, WA 98208(425) 337-7000(425) 338-2408 Get Directions Write a Review

NPPES record last updated: May 21, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Northwest Foot And Ankle Physicians And Surgeons, Llc NPPES

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

NORTHWEST FOOT AND ANKLE PHYSICIANS AND SURGEONS, LLC (NPI 1477640779) is a healthcare organization registered as a podiatrist in Everett, Washington and active in the NPI registry since October 2006. The organization lists Gordon Suichi Nishimoto, President, as its authorized official.

NPPES Registry Identity

NPI1477640779
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameNORTHWEST FOOT AND ANKLE PHYSICIANS AND SURGEONS, LLC
Location Address10821 19TH AVE SEEverett, WA 98208-5103
Mailing Address10821 19th Ave SeEverett, WA 98208-5103 · (425) 337-7000 · Fax (425) 338-2408
Fax(425) 338-2408
Organization SubpartNo
Authorized OfficialGordon Suichi NishimotoPresident · (425) 337-7000
Enumeration DateOctober 6, 2006
Last NPPES UpdateMay 21, 2015
NPI 1477640779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License Licensed in WA · P0725
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
10821 19TH AVE SE, Everett, WA 98208

Other Identifiers 3

Medicare NSC4965350001WA
Medicare PINAB29341WA
Medicaid7138191WA

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 2

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

Physical Therapist
10821 19TH AVE SE
EVERETT, WA 98208
Physical Therapist
10821 19TH AVE SE
EVERETT, WA 98208

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 Northwest Foot And Ankle Physicians And Surgeons, LLC's NPI number?

The NPI number for Northwest Foot And Ankle Physicians And Surgeons, LLC is 1477640779. It was assigned to this organization in the NPPES registry on October 6, 2006.

Where is Northwest Foot And Ankle Physicians And Surgeons, LLC located?

Northwest Foot And Ankle Physicians And Surgeons, LLC is located at 10821 19th Ave SE, Everett, WA 98208. The listed phone number is (425) 337-7000.

What is Northwest Foot And Ankle Physicians And Surgeons, LLC's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for Northwest Foot And Ankle Physicians And Surgeons, LLC was last updated on May 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.