PUGET SOUND SPECIALTY PHYSICIANS PLLC (NPI# 1114106796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114106796 |
| Entity Type | Organization |
| Organization Name | PUGET SOUND SPECIALTY PHYSICIANS PLLC |
| Other Organization Name | ANKLE AND FOOT SPECIALISTS OF ISSAQUAH |
| Practice Address |
2005 Nw Sammamish Rd Issaquah WA 98027-8940 |
| Mailing Address |
2728 E Main Ave Suite A Puyallup WA 98372-3198 |
| Practice Telephone | 2536310585 |
| Practice Fax Number | 2536310596 |
| Mailing Telephone | 2538412006 |
| Mailing Fax Number | 2538406691 |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2008-06-05 |
| Authorized Official Name | RYAN A BIERMAN (PHYSICIAN) |
| Authorized Official Telephone | 2536310585 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | Y |
| Parent Organization Name | PUGET SOUND SPECIALTY PHYSICIANS PLLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
WA | Podiatric Medicine & Surgery Service Providers |
| Other Name | Type Code |
|---|---|
| Ankle and Foot Specialists of Issaquah | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144401704 | Puget Sound Specialty Physicians Pllc | Podiatrist | 19820 Hwy 410 East, Bonney Lake, WA 98391 | 2007-11-23 |
| 1124203963 | Puget Sound Specialty Physicians Pllc | Podiatrist | 2728 E Main Ave, Suite A, Puyallup, WA 98372-3198 | 2007-12-28 |
| 1770766271 | Puget Sound Specialty Physicians Pllc | Podiatrist | 2820 Griffin Ave, Suite 101, Enumclaw, WA 98022-2373 | 2007-12-07 |
| 1760661334 | Puget Sound Specialty Physicians Pllc | Podiatrist | 4140 Factoria Blvd Se, Suite 1b, Bellevue, WA 98006-5261 | 2007-10-30 |
| 1477732055 | Puget Sound Specialty Physicians Pllc | Podiatrist | 3908 10th St Se, Puyallup, WA 98374-2188 | 2007-10-30 |
| 1588843254 | Puget Sound Specialty Physicians Pllc | Podiatrist | 2728 E Main Ave, Suite A, Puyallup, WA 98372-3198 | 2007-10-30 |
| Street Address |
2005 NW SAMMAMISH RD |
| City | ISSAQUAH |
| State | WA |
| Zip Code | 98027-8940 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710961834 | Benedict Garry | Family Medicine | 2005 Nw Sammamish Rd, Swedish Physicians, Issaquah, WA 98027-8940 | 2005-12-01 |
| 1073677431 | Vasectomy Center Eastside | Urology | 2005 Nw Sammamish Rd, Issaquah, WA 98027-5364 | 2006-12-20 |
| 1780746560 | Johnette L Crawford | Family Medicine | 2005 Nw Sammamish Rd, Bldg B, Issaquah, WA 98027-5364 | 2006-12-15 |
| 1699837518 | William H Kinnish | Family Medicine | 2005 Nw Sammamish Rd, Bldg B, Issaquah, WA 98027-5364 | 2006-12-15 |
| 1225109424 | Brenna Born | Emergency Medicine | 2005 Nw Sammamish Rd, Issaquah, WA 98027-5364 | 2006-11-11 |
| 1972695179 | Bruce Eric Stevenson | Emergency Medicine | 2005 Nw Sammamish Rd, Issaquah, WA 98027-5364 | 2006-09-28 |
| 1174532634 | Richard John Plunkett | Emergency Medicine | 2005 Nw Sammamish Rd, Issaquah, WA 98027-5364 | 2006-08-05 |
| 1780693283 | Joel Mark Wasserman | Emergency Medicine | 2005 Nw Sammamish Rd, Issaquah, WA 98027-5364 | 2006-08-05 |
| 1861401382 | David Brynn Karch | Emergency Medicine | 2005 Nw Sammamish Rd, Issaquah, WA 98027-5364 | 2006-08-05 |
| 1548288293 | Nicole H Vonsuhr | Emergency Medicine | 2005 Nw Sammamish Rd, Issaquah, WA 98027-5364 | 2006-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780281840 | Cascade Hand & Orthopedic Rehab, Inc. | Clinic/Center | 1301 4th Avenue Nw, Suite 200, Issaquah, WA 98027 | 2020-10-01 |
| 1700494630 | Genevieve S Ward | Counselor | 22500 Se 64th Place, Building G, Suite 150, Issaquah, WA 98027 | 2020-07-16 |
| 1891338604 | Amy Mezulis | Psychologist | 1740 Nw Maple St. #210, Issaquah, WA 98027 | 2019-10-24 |
| 1578055083 | Vivian Yu-en Hsiao | Physical Therapist | 1301 4th Ave Nw Ste 300, Issaquah, WA 98027 | 2018-05-31 |
| 1831698000 | Peter James Carlson | Physical Therapist | 22500 Se 64th Place, Building G, Suite 115, Issaquah, WA 98027 | 2018-02-02 |
| 1902323553 | David Robert Primrose | Dentist | 600 Nw Gilman Blvd Ste B, Issaquah, WA 98027 | 2017-08-24 |
| 1083135446 | Tara Rose | Massage Therapist | 680 Nw Gilman Blvd., Ste. A, Issaquah, WA 98027 | 2017-07-06 |
| 1295276194 | Amy Davenport | Occupational Therapist | 1871 Nw Gilman Blvd #2, Issaquah, WA 98027 | 2017-03-13 |
| 1942751771 | Krista L Gibbons | Counselor | 1700 Nw Blvd, Suite #200, Issaquah, WA 98027 | 2016-10-17 |
| 1376903237 | Kari Wathen Torres | Occupational Therapist | 710 Nw Juniper St Ste 100, Issaquah, WA 98027 | 2016-03-03 |
| Find all providers in zip 98027 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194165274 | Christopher Jones | Podiatrist | 175 1st Pl Nw Ste B, Issaquah, WA 98027-2746 | 2013-07-03 |
| 1225373434 | Dr Grabowski PC | Podiatrist | 1301 4th Ave Nw Ste 200, Issaquah, WA 98027-9371 | 2012-11-29 |
| 1114922853 | John William Parmelee | Podiatrist | 2153 Shy Bear Way Nw, Apt 411, Issaquah, WA 98027-5630 | 2005-06-18 |
| 1659758290 | Foot and Ankle Center of Issaquah LLC | Podiatrist | 22510 Se 64th Pl, Unit 120, Issaquah, WA 98027-5390 | 2015-05-04 |
| 1538577952 | Washington Podiatry | Podiatrist | 22510 Se 64th Pl, Issaquah, WA 98027-5390 | 2014-07-29 |
| 1508855966 | Timothy W Young | Podiatrist | 450 Nw Gilman Blvd, Suite 303, Issaquah, WA 98027-2483 | 2005-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598392599 | Northern Cascades Foot and Ankle, LLC | Podiatrist | 532 E. Woodin Ave, Chelan, WA 98816-1852 | 2020-03-27 |
| 1801433784 | South Hill Foot & Ankle Clinic Ps | Podiatrist | 3707 S Grand Blvd Ste A, Spokane, WA 99203-2762 | 2019-12-10 |
| 1679025902 | Fasa Family Wellness, Pllc | Podiatrist | 2964 Limited Ln Nw, Suite B, Olympia, WA 98502-4577 | 2016-11-03 |
| 1356899363 | Emily Wagler | Podiatrist | 34509 9th Ave S Ste 303, Federal Way, WA 98003-8709 | 2016-09-19 |
| 1821546540 | Ata Podiatric and Integrative Medicine, Pllc | Podiatrist | 1950 Alaskan Way, Apt 526, Seattle, WA 98101-1075 | 2016-09-12 |
| 1376998179 | Hyowon Choi | Podiatrist | 2075 Barkley Blvd Ste 220, Bellingham, WA 98226 | 2016-04-28 |
| 1407210479 | Philip Matthew Woods | Podiatrist | 1812 N 13th Loop Rd # 1, Shelton, WA 98584-2169 | 2016-04-06 |
| 1063897916 | Yan Rong Cullen | Podiatrist | 13030 121st Way Ne Ste 204, Kirkland, WA 98034-3008 | 2015-07-21 |
| 1972982023 | Brittany Lynn Logan | Podiatrist | 10049 Kitsap Mall Blvd Nw Ste 109, Silverdale, WA 98383-8901 | 2015-05-21 |
| 1093194425 | Silas Klaver | Podiatrist | 1607 Creekside Loop Ste 140, Yakima, WA 98902 | 2015-05-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.