| Northwest Foot And Ankle Center, Ps | |
|
4300 Talbot Rd S, Suite 102, Renton, WA 98055-6238 | |
| (425) 277-3668 | |
| (425) 277-0732 |
| Full Name | Northwest Foot And Ankle Center, Ps |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 4300 Talbot Rd S, Renton, Washington |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346265261 | NPI | - | NPPES |
| 156353 | Other | WA | DEPT OF L&I |
| 1060272 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 602113454 (Washington) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
| Provider Name | Mark Thomas Lewis |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1770581910 PECOS PAC ID: 8921998683 Enrollment ID: I20050316000846 |
| Provider Name | Craig E Clifford |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1104142686 PECOS PAC ID: 7810148913 Enrollment ID: I20121120000309 |
| Provider Name | Jeremy Durjan Cross |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1407227424 PECOS PAC ID: 5294025128 Enrollment ID: I20190729002083 |
| Provider Name | Ali Lewann Armstrong Cross |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1952755159 PECOS PAC ID: 9830489616 Enrollment ID: I20190803000074 |
| Provider Name | Petrina Celeste Lewis |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1215935457 PECOS PAC ID: 9739079492 Enrollment ID: I20190820001866 |
| Provider Name | Brennan Anthony Menninger |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1407365018 PECOS PAC ID: 3072916261 Enrollment ID: I20210726002617 |
| Provider Name | Shawn B Khademi |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1124412184 PECOS PAC ID: 0547591570 Enrollment ID: I20220510001434 |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Foot And Ankle Center, Ps 4300 Talbot Rd S, Suite 102, Renton, WA 98055-6238 Ph: (425) 277-3668 | Northwest Foot And Ankle Center, Ps 4300 Talbot Rd S, Suite 102, Renton, WA 98055-6238 Ph: (425) 277-3668 |
Padhma Venkitapathy, Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 10555 Se Carr Rd, Renton, WA 98055 Phone: 425-690-3510 Fax: 425-690-9510 | |
Valley Foot & Ankle Pllc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 433 Sw 41st St, Renton, WA 98057 Phone: 425-226-5656 Fax: 425-271-1488 | |
Dr. Deborah Jean Ketterer, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 4361 Talbot Rd S, Suite 101, Renton, WA 98055 Phone: 425-271-1351 Fax: 425-271-1368 | |
Shawn B Khademi, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 4300 Talbot Rd S Ste 102, Renton, WA 98055 Phone: 425-277-3668 | |
Dr. Christopher Alan Robertson, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 433 Sw 41st St, Renton, WA 98057 Phone: 425-226-5656 Fax: 425-271-1488 | |
Dr. Nick Nghia Dang, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 10555 Se Carr Rd, Bldg M, Renton, WA 98055 Phone: 425-203-7290 Fax: 425-656-5422 | |
Calvin Eugene Davis, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 4033 Talbot Rd S Ste 350, Renton, WA 98055 Phone: 425-690-3510 Fax: 425-690-9510 |