Provider Demographics
NPI:1073955944
Name:CAREPLUS FOOT AND ANKLE SPECIALISTS, LLC
Entity Type:Organization
Organization Name:CAREPLUS FOOT AND ANKLE SPECIALISTS, LLC
Other - Org Name:CAREPLUS FOOT AND ANKLE SPECIALISTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HUBERT
Authorized Official - Middle Name:W
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:425-455-0936
Mailing Address - Street 1:12737 BEL RED RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98005-2699
Mailing Address - Country:US
Mailing Address - Phone:425-455-0936
Mailing Address - Fax:425-462-8080
Practice Address - Street 1:12737 BEL RED RD
Practice Address - Street 2:SUITE 200
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98005-2699
Practice Address - Country:US
Practice Address - Phone:425-455-0936
Practice Address - Fax:425-462-8080
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-21
Last Update Date:2020-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA6880740001Medicare NSC