Mark Lewis

LBN: Northwest Foot And Ankle Center, Ps
Mark Lewis is an health care organization with primary practice located at 11212 Sunrise Blvd E Suite 203, Puyallup WA 98374-8847. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as the primary health care specialty. Northwest Foot And Ankle Center, Ps can be contacted via phone (253) 841-4262, or through Roth, Matt via phone (425) 277-3668.

Contact Information

Primary practice address
11212 Sunrise Blvd E Suite 203 Puyallup WA 98374-8847
Phone: (253) 841-4262
Fax: (253) 841-7112
Website:
Map and Directions
Authorized official contact:
Name: Roth, Matt
Phone: (425) 277-3668

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X PO00000660 Washington

Profile Details

NPI number 1790963866
LBN Legal business name Northwest Foot And Ankle Center, Ps
DBA Doing business as Mark Lewis
Authorized official Roth, Matt
Entity Organization
Organization subpart 1 No
Enumeration date Jan 31st, 2008
Last updated Jul 28th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790963866 NPPES
Washington MEDICAID 7142938

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