ANKLE & FOOT SPECIALISTS OF PUGET SOUND, PS (NPI# 1568753499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568753499 |
| Entity Type | Organization |
| Organization Name | ANKLE & FOOT SPECIALISTS OF PUGET SOUND, PS |
| Other Organization Name | ANKLE & FOOT SPECIALIST OF ISSAQUAH |
| Practice Address |
751 Ne Blakely Dr Fl 4 Issaquah WA 98029-6201 |
| Mailing Address |
2728 E Main Ave Ste A Puyallup WA 98372-3198 |
| Practice Telephone | 4253940200 |
| Practice Fax Number | 2536310596 |
| Mailing Telephone | 2538412006 |
| Mailing Fax Number | 2538406691 |
| Enumeration Date | 2011-04-26 |
| Last Update Date | 2012-03-26 |
| Authorized Official Name | RYAN A BIERMAN (PHYSICIAN/OWNER) |
| Authorized Official Telephone | 2063134890 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | Y |
| Parent Organization Name | ANKLE & FOOT SPECIALISTS OF PUGET SOUND, PS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | PO 00000712 | WA | Podiatric Medicine & Surgery Service Providers |
| N | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
PO 00000712 | WA | Podiatric Medicine & Surgery Service Providers |
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
PO 00000712 | WA | Podiatric Medicine & Surgery Service Providers |
| Other Name | Type Code |
|---|---|
| Ankle & Foot Specialist of Issaquah | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013313949 | Ankle & Foot Specialists of Puget Sound, Ps | Podiatrist | 17700 Se 272nd St Ste 370, Covington, WA 98042-4951 | 2014-11-04 |
| 1023416286 | Ankle & Foot Specialists of Puget Sound, Ps | Podiatrist | 2820 Griffin Ave Ste 101, Enumclaw, WA 98022-2373 | 2014-12-19 |
| 1902167471 | Ankle & Foot Specialists of Puget Sound, Ps | Podiatrist | 18100 Ne Union Hill Rd, Suite 200, Redmond, WA 98052-3330 | 2012-05-31 |
| 1649561168 | Ankle & Foot Specialists of Puget Sound, Ps | Podiatrist | 3908 10th St Se, Puyallup, WA 98374-2188 | 2011-05-02 |
| 1760781827 | Ankle & Foot Specialists of Puget Sound, Ps | Podiatrist | 2728 E Main Ave, Suite A, Puyallup, WA 98372-3198 | 2011-03-15 |
| 1346548658 | Ankle & Foot Specialists of Puget Sound, Ps | Podiatrist | 4140 Factoria Blvd Se, Suite 1b, Bellevue, WA 98006-5261 | 2011-03-10 |
| 1437457744 | Ankle & Foot Specialists of Puget Sound, Ps | Podiatrist | 2728 E Main Ave, Suite A, Puyallup, WA 98372-3198 | 2011-03-10 |
| 1164720462 | Ankle & Foot Specialists of Puget Sound, Ps | Podiatrist | 2820 Griffin Ave, Suite 101, Enumclaw, WA 98022-2373 | 2011-03-10 |
| 1558668582 | Ankle & Foot Specialists of Puget Sound, Ps | Podiatrist | 2728 E Main Ave, Suite A, Puyallup, WA 98372-3198 | 2011-02-28 |
| Street Address |
751 NE BLAKELY DR FL 4 |
| City | ISSAQUAH |
| State | WA |
| Zip Code | 98029-6201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134730161 | Katelyn Creech | Counselor | 1505 16th Lane Ne, Apt 404 Building O, Issaquah, WA 98029 | 2020-08-13 |
| 1326695438 | M Shoaib Haider Siddiqui | Dentist | Issaquah Modern Dentistry, 1416 Highlands Drie Ne, Suite 120, Issaquah, WA 98029 | 2019-08-22 |
| 1053885061 | Rose Osborne | Registered Nurse | 4580 Klahanie Dr Se #181, Sammamish, WA 98029 | 2019-01-14 |
| 1598260960 | Caryn Crosbie | Behavior Technician | 22526 Se 64th Place, Building D Suite 210, Issaquah, WA 98029 | 2018-03-28 |
| 1194110908 | May Y. Mar | Family Medicine | 5708 E. Lake Sammamish Pkwy Se, Issaquah, WA 98029 | 2015-03-30 |
| 1659765816 | Eastside Social Skills Therapy LLC | Preferred Provider Organization | 5436 232nd Ave Se, Issaquah, WA 98029 | 2015-03-26 |
| 1649513946 | Linda Scoppettone Knodel | Registered Nurse | 5303 231 Ave. Se, Issaquah, WA 98029 | 2013-04-04 |
| 1720323116 | Morley Slutsky | Preventive Medicine | 4580 Klahanie Dr. S.e.,#125, Issaquah, WA 98029 | 2012-12-11 |
| 1619248820 | Silas Dickenson Dudley | Dentist | 2520 Ne Park Dr, Suite C, Issaquah, WA 98029 | 2012-01-19 |
| 1659641678 | Cynthia J Creel | Technician/Technologist | 4580 Klahanie Dr. Se, #332, Issaquah, WA 98029 | 2012-01-06 |
| Find all providers in zip 98029 | ||||
| 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 |
| 1114106796 | Puget Sound Specialty Physicians Pllc | Podiatrist | 2005 Nw Sammamish Rd, Issaquah, WA 98027-8940 | 2007-10-30 |
| 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.