Provider Demographics
NPI:1891798955
Name:SCHAENGOLD, HOWARD (DPM)
Entity Type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:
Last Name:SCHAENGOLD
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:466 228TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:SAMMAMISH
Mailing Address - State:WA
Mailing Address - Zip Code:98074-7209
Mailing Address - Country:US
Mailing Address - Phone:425-868-3338
Mailing Address - Fax:425-836-9211
Practice Address - Street 1:466 228TH AVE NE
Practice Address - Street 2:
Practice Address - City:SAMMAMISH
Practice Address - State:WA
Practice Address - Zip Code:98074-7209
Practice Address - Country:US
Practice Address - Phone:425-868-3338
Practice Address - Fax:425-836-9211
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-23
Last Update Date:2008-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPO00000461213ES0000X, 213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0000XPodiatric Medicine & Surgery Service ProvidersPodiatristSports Medicine
No213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
WASC2771OtherREGENCE
WA0056984OtherLABOR & INDUSTRY
WA1068147Medicaid
WA480009717Medicare PIN
WA000108464Medicare ID - Type Unspecified
WA0056984OtherLABOR & INDUSTRY
WA0476870001Medicare NSC