MEDICARE: DR. HOWARD SCHAENGOLD D.P.M.

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	213ES0000X	Sports Medicine Podiatrist	PO00000461	WA
2	213ES0103X	Foot & Ankle Surgery Podiatrist	PO00000461	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	SC2771	OTHER	WA	REGENCE
2	0056984	OTHER	WA	LABOR & INDUSTRY
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1891798955
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HOWARD SCHAENGOLD D.P.M.

Provider Business Mailing Address
First Line	:	466 228TH AVE NE
Second Line	:
City	:	SAMMAMISH
State	:	WA
Zip	:	98074-7209
Country	:	US
Telephone Number	:	425-868-3338
Fax Number	:	425-836-9211

Provider Business Practice Location Address
First Line	:	466 228TH AVE NE
Second Line	:
City	:	SAMMAMISH
State	:	WA
Zip	:	98074-7209
Country	:	US
Telephone Number	:	425-868-3338
Fax Number	:	425-836-9211

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

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	12/29/2008

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