Puget Sound Specialty Physicians PLLC
NPI 1144401704ActiveOrganization· Podiatrist, Foot & Ankle Surgery· Bonney Lake, WA
Podiatrist, Foot & Ankle Surgery in Bonney Lake, Washington, registered in NPPES in November 2007, part of Puget Sound Specialty Physicians PLLC. The authorized official on file is Tina M. Quevedo, Billing Office Supervisor.
Overview
| NPI | 1144401704 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Puget Sound Specialty Physicians PLLC |
| NPI issued | Nov 23, 2007 |
| Last updated in NPPES | Jun 5, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Podiatrist, Foot & Ankle Surgery Primary | 213ES0103X | — | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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