Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GORDON S NISHIMOTO, DPM
DeactivatedGORDON S NISHIMOTO, DPM is a Foot & Ankle Surgery Podiatrist healthcare provider located in EVERETT, Washington. NPI 1356334460 is deactivated in the NPPES registry. Verify at CMS.
Foot & Ankle Surgery Podiatrist · EVERETT, WA
This NPI has been deactivated.
The record was deactivated on March 27, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1356334460
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 24, 2005 (0.58904109589041 yrs)
- Last Updated
- Mar 31, 2025
- Deactivated
- Mar 27, 2006
- License
-
PO00000725 (WA)
Practice Information
- Address
-
10821 19TH AVE SE STE 201EVERETT, WA, 982085103Browse WA providers · Browse ZIP 98208
- Phone
- 4253377000
- Fax
- 4253382408
- Primary Specialty
-
Foot & Ankle Surgery Podiatrist
213ES0103X
Other Foot & Ankle Surgery Podiatrist Providers in EVERETT, WA
| Name | Credential | NPI |
|---|---|---|
| JEFFREY C CHRISTENSEN | DPM | 1154396901 |
| MARY E CRAWFORD | DPM | 1780659532 |
| CHERIE H JOHNSON | DPM | 1427024132 |
| DR. SEAN S LAGHAEIAN | DPM | 1184640575 |
| DR. JESSICA LEA LUND | DPM | 1225058035 |
| DR. BRYAN LEONARD BERGHOUT | DPM | 1255411419 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.