EASTSIDE PODIATRY ASC – NPI #1740408293
Clinic/Center

EASTSIDE PODIATRY ASC is an AHC clinic located in BELLEVUE, WA. NPPES has assigned the NPI number 1740408293 to EASTSIDE PODIATRY ASC on April 22, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “EASTSIDE PODIATRY ASC” is a dba name, the actual legal business name for this organization is METROLIANCE FOOT AND ANKLE GROUP. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 11 years ago on Sep 28, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EASTSIDE PODIATRY ASC below.

NPI Profile for
METROLIANCE FOOT AND ANKLE GROUP

NPI Number
1740408293
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
METROLIANCE FOOT AND ANKLE GROUP
Doing Business As (dba): EASTSIDE PODIATRY ASC
Primary location
2950 NORTHUP WAY
SUITE 115
BELLEVUE, WA 98004-1406
Phone: (425) 893-8100 Fax: (425) 893-8111
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
TAE SOON PARK
MEDICAL DIRECTOR
Phone: (425) 893-8100
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)		 WA 301

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.