| Fasa Family Wellness Pllc | |
|
2400 Racquet Ln, Yakima, WA 98902-6109 | |
| (509) 225-3668 | |
| (509) 225-3448 |
| Full Name | Fasa Family Wellness Pllc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 2400 Racquet Ln, Yakima, Washington |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871506444 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | PO00000565 (Washington) | Primary |
| Provider Name | Joshua D Johnson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1154337392 PECOS PAC ID: 5496780462 Enrollment ID: I20050928000728 |
| Provider Name | Stuart Boyd Cardon |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1205842465 PECOS PAC ID: 4284526997 Enrollment ID: I20060908000102 |
| Provider Name | Jay K Callarman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1780802694 PECOS PAC ID: 8729154307 Enrollment ID: I20080904000682 |
| Provider Name | Shawn Kelly Summers |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1922443258 PECOS PAC ID: 7810136892 Enrollment ID: I20130624000487 |
| Provider Name | Dean David Clyde Walters |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1144789132 PECOS PAC ID: 0941535389 Enrollment ID: I20220610001151 |
| Mailing Address | Practice Location Address |
|---|---|
| Fasa Family Wellness Pllc Po Box 825159, Philadelphia, PA 19182-5159 Ph: (866) 626-1540 | Fasa Family Wellness Pllc 2400 Racquet Ln, Yakima, WA 98902-6109 Ph: (509) 225-3668 |
Jonathan C. Graham, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 502 N 40th Ave, Yakima, WA 98908 Phone: 509-965-0625 Fax: 509-966-4967 | |
Memorial Physicians, Pllc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1607 Creekside Loop, Suite 140, Yakima, WA 98902 Phone: 509-453-4614 Fax: 509-225-2712 | |
Jeffrey B Lecheminant, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 6101 Summitview Ave, Ste 200, Yakima, WA 98908 Phone: 509-573-3530 | |
Dr. Joshua D Johnson, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2400 Racquet Ln, Yakima, WA 98902 Phone: 509-225-3668 Fax: 509-225-3448 | |
Advanced Podiatry Specialists Ps Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 502 N 40th Ave, Unit 1, Yakima, WA 98908 Phone: 509-965-0625 Fax: 509-966-4967 | |
Stuart B Cardon, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2400 Racquet Ln, Yakima, WA 98902 Phone: 509-225-3668 Fax: 509-225-3448 | |
Fasa Family Wellness, Pllc Podiatrist Medicare: Medicare Enrolled Practice Location: 2400 Racquet Ln, Yakima, WA 98902 Phone: 509-225-3668 |