Gordon S Nishimoto in Mill Creek - Foot & Ankle Surgery
Gordon S Nishimoto - NPI 1356334460
Gordon S Nishimoto is a Foot & Ankle Surgery in Mill Creek, Washington. Gordon S Nishimoto practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for Gordon S Nishimoto is 1356334460. The last update date is 2018-12-03.
Gordon S Nishimoto's current location address is 15428 14th Dr Se, Mill Creek, Washington. You can contact this provider via phone number 4253377000 and fax number 4253382408. The mailing address for Gordon S Nishimoto is 15428 14th Dr Se, Mill Creek, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gordon S Nishimoto |
|---|---|
| Address | 15428 14th Dr Se, Mill Creek, Washington |
| Phone Number | 4253377000 |
| Fax Number | 4253382408 |
| Sole Proprietor | Y |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1356334460 |
|---|---|
| Provider Enumeration Date | 2005-08-24 |
| Last Updated Date | 2018-12-03 |
Provider Mailing Address Detail
| Address | 15428 14th Dr Se |
|---|---|
| City | Mill Creek |
| State | Washington (WA) |
| Post Code | 980128467 |
| Phone Number | 4253377000 |
| Fax Number | 4253382408 |
Provider's Primary Taxonomy Detail
| Speciality | Foot & Ankle Surgery |
|---|---|
| Taxonomy | 213Es0103X |
| Licence No | PO00000725 |
|
Definition: A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8484396 | WA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Gordon S Nishimoto by the Centers for Medicare & Medicaid Services?
The Gordon S Nishimoto has been issued the NPI (National Provider Identifier) 1356334460 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Gordon S Nishimoto's facilities are situated?
The facilities of Gordon S Nishimoto are physically located at the following address: 15428 14Th Dr Se, Mill Creek, WA, 980128467.
What is Gordon S Nishimoto's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Gordon S Nishimoto is Foot & Ankle Surgery, and the corresponding taxonomy classification code for this specialized field is 213Es0103X.
On what date did the Gordon S Nishimoto receive the assignment of its 1356334460 from the Centers for Medicare & Medicaid Services?
The Gordon S Nishimoto was issued its 1356334460 by the Centers for Medicare & Medicaid Services on 2005-08-24.
As of what date was the information pertaining to Gordon S Nishimoto, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Gordon S Nishimoto, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2018-12-03.