MEDICARE: DR. NICHOLAS S HEATH DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	PO00000608	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	119010	OTHER	WA	LABOR & INDUSTRIES
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144254640
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NICHOLAS S HEATH DPM

Provider Business Mailing Address
First Line	:	7800 PACIFIC AVE
Second Line	:	SUITE 1
City	:	TACOMA
State	:	WA
Zip	:	98408-7050
Country	:	US
Telephone Number	:	253-473-5566
Fax Number	:	253-882-0988

Provider Business Practice Location Address
First Line	:	7800 PACIFIC AVE
Second Line	:	SUITE 1
City	:	TACOMA
State	:	WA
Zip	:	98408-7050
Country	:	US
Telephone Number	:	253-473-5566
Fax Number	:	253-882-0988

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/10/2006
Last Update Date	:	06/09/2026

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