| Olympia Podiatry Clinic | |
|
3525 Ensign Rd Ne Ste N, Olympia, WA 98506-5065 | |
| (360) 943-9600 | |
| (360) 943-9694 |
| Full Name | Olympia Podiatry Clinic |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 3525 Ensign Rd Ne Ste N, Olympia, Washington |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558897942 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | PO 60735213 (Washington) | Primary |
| Provider Name | Jerod Scott Stanley |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1356758668 PECOS PAC ID: 7517262264 Enrollment ID: I20170719001986 |
| Provider Name | Aaron K Utterback |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1831599521 PECOS PAC ID: 6507136058 Enrollment ID: I20170719002053 |
| Mailing Address | Practice Location Address |
|---|---|
| Olympia Podiatry Clinic 9119 Classic Dr Ne, Lacey, WA 98516-9247 Ph: (216) 469-5758 | Olympia Podiatry Clinic 3525 Ensign Rd Ne Ste N, Olympia, WA 98506-5065 Ph: (360) 943-9600 |
Donald G Hovancsek, D.p.m. Ps Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2828 Martin Way E, Olympia, WA 98506 Phone: 360-943-9600 Fax: 360-943-9694 | |
Kelley Ann Gillroy, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 165 Lilly Rd Ne Ste A, Olympia, WA 98506 Phone: 360-438-9092 Fax: 604-383-9063 | |
S Sound Foot & Ankle Inc Ps Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 3525 Ensign Rd Ne, Suite L, Olympia, WA 98506 Phone: 360-456-3171 Fax: 360-456-2597 | |
M Hopkins Dpm Ps Podiatrist Medicare: Medicare Enrolled Practice Location: 3525 Ensign Rd Ne Ste L, Olympia, WA 98506 Phone: 360-456-3171 Fax: 360-456-2597 | |
Jerod Stanley, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3525 Ensign Rd Ne Ste N, Olympia, WA 98506 Phone: 360-943-9600 Fax: 360-943-9694 | |
Richard Edward Horsman, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 3525 Ensign Rd Ne, Suite L, Olympia, WA 98506 Phone: 360-456-3171 Fax: 360-456-2597 | |
Dr. Mark K Williams, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 165 Lilly Rd Ne Ste A, Olympia, WA 98506 Phone: 360-438-9092 Fax: 360-438-3906 |