DR. ROBERT B. KIERSTEIN (NPI# 1215098587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215098587 |
| Entity Type | Individual |
| Full Name | DR. ROBERT B. KIERSTEIN |
| Credential | DPM |
| Practice Address |
11903 Ne 128th St Suite C Kirkland WA 98034-7209 |
| Mailing Address |
11903 N.e. 128th St. Suite C Kirkland WA 98034 |
| Practice Telephone | 4258995331 |
| Practice Fax Number | 4258995333 |
| Mailing Telephone | 4258995331 |
| Mailing Fax Number | 4258995333 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2011-04-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
PO00000268 | WA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1522101 | 05 | |
| WA | DEA | AK8796926 | 01 |
| Street Address |
11903 NE 128TH ST SUITE C |
| City | KIRKLAND |
| State | WA |
| Zip Code | 98034-7209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801849948 | Astier M Alem | Specialist | 11903 Ne 128th St, Ste B, Kirkland, WA 98034-7209 | 2006-05-18 |
| 1922425248 | Revive Low T, LLC | Naturopath | 11903 Ne 128th St, Suite A, Kirkland, WA 98034-7209 | 2014-03-25 |
| 1427475862 | Gile & Stahl, Pllc | Dentist | 11903 Ne 128th St, Suite D, Kirkland, WA 98034-7209 | 2014-03-24 |
| 1679856512 | Kimberly C Otis | Naturopath | 11903 Ne 128th St, Suite B, Kirkland, WA 98034-7209 | 2011-09-27 |
| 1386802007 | Mark G. Ochenrider, Pllc | Internal Medicine | 11903 Ne 128th St, Suite B, Kirkland, WA 98034-7209 | 2008-05-29 |
| 1376661397 | Kevin Scott Ritola | Dentist | 11903 Ne 128th St, Suite D, Kirkland, WA 98034-7209 | 2007-03-27 |
| 1679648216 | John Huang | Dentist | 11903 Ne 128th St, Suite D, Kirkland, WA 98034-7209 | 2006-11-21 |
| 1700962099 | Woodinville Wellness Center | Naturopath | 11903 Ne 128th St, Suite B, Kirkland, WA 98034-7209 | 2006-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578116596 | Rachel Bowers | Behavior Technician | 1335 Northeast 122nd Way, Suite 105, Kirkland, WA 98034 | 2019-07-18 |
| 1740841048 | Kristina Louise Inghram | Behavior Technician | 11415 Ne 128th St., Suite 40, Kirkland, WA 98034 | 2019-06-26 |
| 1053978064 | Matthew A. Bagnulo, Dds, Ps | Dentist | 11830 Ne 128th St., #202, Kirkland, WA 98034 | 2019-05-24 |
| 1629568928 | Stephanie Michalko | Optometrist | 11800 Ne 128th St Ste 110, Kirkland, WA 98034 | 2018-05-14 |
| 1952800013 | Heath Family Counseling LLC | Marriage & Family Therapist | 12025 115th Ave. Ne, Building D, Ste 200, Kirkland, WA 98034 | 2018-02-05 |
| 1891202834 | Barbara Josephine Gorham | Counselor | 2025 115th Ave Ne, Bldg D, #200, Kirkland, WA 98034 | 2017-12-29 |
| 1548782915 | Eleanor Hollis Wall | Counselor | 14340 102nd Ave Ne, Kirkland, WA 98034 | 2017-07-07 |
| 1457885212 | Peter Schoonmaker | Hospitalist | 12040 Ne 128th Street, Ms105, Kirkland, WA 98034 | 2017-04-18 |
| 1780124370 | Rebecca Managan | Advanced Practice Midwife | 12303 Ne 130th Ln Ste Coral225, Kirkland, WA 98034 | 2017-03-01 |
| 1669821104 | Winter Gonzalez | Counselor | 11720 97th Ln Ne Apt A411, Kirkland, WA 98034 | 2016-06-06 |
| Find all providers in zip 98034 | ||||
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649708819 | Theresa H.t. Nguyen Pllc | Podiatrist | 17530 Ne Union Hill Rd Ste 110, Redmond, WA 98052-3340 | 2017-05-31 |
| 1366749095 | Rapha Clinics, Inc | Podiatrist | 1130 N 185th St Ste 202, Shoreline, WA 98133-4011 | 2011-02-15 |
| 1568673895 | Victoria Kovacs Penfield | Podiatrist | 15717 136th Avenue Ct E, Puyallup, WA 98374-9688 | 2007-05-25 |
| 1922122811 | Randall S. Fisher | Podiatrist | 8610 Eastview Ave, Everett, WA 98208-3516 | 2007-03-18 |
| 1689732588 | Hugh James Gorey Jr. | Podiatrist | 12001 Pacific Ave S., #204, Tacoma, WA 98444-5101 | 2006-12-04 |
| 1134154032 | Stephen Haggard | Podiatrist | 210 27th Ave Apt F105, Milton, WA 98354-8330 | 2006-07-11 |
| 1265470678 | Broadway Foot & Ankle Ps | Podiatrist | 6625 W Crest View Loop Se, Snoqualmie, WA 98065-8912 | 2006-06-04 |
| 1063493559 | Randolph Charles Fish | Podiatrist | 915 So. 76th St., Tacoma, WA 98408-2902 | 2005-11-10 |
| 1982694501 | Michael Aziz Mishalanie | Podiatrist | 401 S 43rd St, Suite 110, Renton, WA 98055-5404 | 2005-10-25 |
| 1942206891 | Brent Barker | Podiatrist | 18007 Ne 26th St, Vancouver, WA 98684-0735 | 2005-06-24 |
| 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.