Gordon S Nishimoto is a Everett, Washington based male podiatrist with 26 years of experience in Podiatric Foot & Ankle Surgery. He completed his graduation from California School Of Podiatric Medicine in 1998. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Gordon S Nishimoto for Podiatric Foot & Ankle Surgery is PO00000725 in Washington. Gordon S Nishimoto provide comprehensive medical and surgical care for a wide spectrum of foot and ankle conditions, including common to complex disorders and injuries that affect people of all ages. He is uniquely qualified to detect the early stages of diseases that exhibit warning signs in the lower extremities, such as diabetes, arthritis and cardiovascular disease, and can manage foot conditions that may pose an ongoing threat to a patient’s overall health.
Complete Profile:
Gordon S Nishimoto speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Podiatrist - Foot & Ankle Surgery
Credentials:
DPM
Experience:
26+ years
Medical School Attended:
California School Of Podiatric Medicine
Graduation Year:
1998
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
10821 19th Ave Se Ste 201, Everett, Washington, 98208-5103
Phone:
425-337-7000
Fax:
425-338-2408
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
8527954999
Enrollment ID:
I20110204000068
NPI Number:
1356334460
NPI Enumeration Date:
24 Aug, 2005
NPI Last Update On:
03 Dec, 2018
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Gordon S Nishimoto are as mentioned below.
License Number
Specialization
State
Status
PO00000725
Podiatric Foot & Ankle Surgery
Washington
Primary
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Gordon S Nishimoto is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Northwest Foot And Ankle Physicians And Surgeons, Llc (0345131652)
2
Other Medical Identifiers:
Other legacy medical identifiers associated with Gordon S Nishimoto such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
8484396
Medicaid
Washington
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
15428 14th Dr Se, Mill Creek, Washington
Zip:
98012-8467
Phone Number:
425-337-7000
Fax Number:
425-338-2408
Patients can reach Gordon S Nishimoto at 10821 19th Ave Se Ste 201, Everett, Washington or can call to book an appointment on 425-337-7000. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.