ISB, INC (NPI# 1902013428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902013428 |
Entity Type | Organization |
Organization Name | ISB, INC |
Other Organization Name | ADVANCED FOOT & ANKLE CLINIC OF KENT |
Practice Address |
10056 Se 240th St Suite D Kent WA 98031-5126 |
Mailing Address |
4306 156th Ave Ne Tt-261 Redmond WA 98052-5304 |
Practice Telephone | 2069929914 |
Practice Fax Number | 2065012102 |
Mailing Telephone | 2069929914 |
Mailing Fax Number | 2065012102 |
Enumeration Date | 2007-05-16 |
Last Update Date | 2008-04-15 |
Authorized Official Name | DR. ILONA BARLAM (OWNER) |
Authorized Official Telephone | 2069929914 |
Authorized Official Credential | DPM |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | L&I | 0211559 | 01 |
WA | 7133754 | 05 | |
WA | L&I | 0211560 | 01 |
WA | 8458432 | 05 | |
WA | DMEPOS | 5981360001 | 01 |
WA | L&I | 0211557 | 01 |
WA | 8458416 | 05 |
Other Name | Type Code |
---|---|
Advanced Foot & Ankle Clinic of Kent | Doing Business As Name - Organization |
Street Address |
10056 SE 240TH ST SUITE D |
City | KENT |
State | WA |
Zip Code | 98031-5126 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043334550 | John W Simunds | Dentist | 10056 Se 240th St, #c, Kent, WA 98031-5126 | 2007-03-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861043325 | Deanna Lila Fuller | Technician | 21417 122nd Place Se, Kent, WA 98031 | 2019-09-26 |
1386092054 | Amninder Ripsy Nagra-kaur | Licensed Practical Nurse | 10016 Se 218th Pl, Kent, WA 98031 | 2016-06-02 |
1033575113 | Amanda Jane Holen | Nurse Practitioner | 202 State Avenue North, Kent, WA 98031 | 2016-01-05 |
1578951281 | Katherine Mitchell | Counselor | 12400 Se 233rd St, Kent, WA 98031 | 2015-01-03 |
1376804997 | San Lwai | Internal Medicine | 20040 - 120th Ave S.e., Kent, WA 98031 | 2012-05-30 |
1013106822 | Fiorella Andrea Diaz | Interpreter | 20029 104th Place Se, Kent, WA 98031 | 2007-10-17 |
1750599361 | Northwest Transport | Non-emergency Medical Transport (VAN) | 22627 85th Pl S, Kent, WA 98031 | 2007-05-18 |
1750596953 | Rhonda H. James | Licensed Practical Nurse | 21252 94th Pl. S, Kent, WA 98031 | 2007-05-11 |
1124172846 | Jeffrey W Baxter | Counselor | 10024 Se 240th, Suite 116 James Street Building, Kent, WA 98031 | 2007-01-22 |
1043398407 | Option 1 Northwest Enteral LLC | Durable Medical Equipment & Medical Supplies | 8633 South 212th Street, Kent, WA 98031 | 2006-11-02 |
Find all providers in zip 98031 |
Taxonomy Code | 213E00000X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659359768 | Hai T Pham | Podiatrist | 1221 S. Water Street, Suite A, Kent, OH 44240 | 2006-01-09 |
1639160666 | James E Benedict | Podiatrist | 1627 E Main St, Kent, OH 44240-2875 | 2005-10-31 |
1780080812 | Michael Jack | Podiatrist | 1930 State Route 59, Kent, OH 44240-4112 | 2014-11-18 |
1316127475 | Windy Cole Dpm | Podiatrist | 1533 S Water St, Kent, OH 44240-4471 | 2007-11-06 |
1467631762 | Benedict Podiatry Group | Podiatrist | 1627 E Main St, Kent, OH 44240-2875 | 2007-11-02 |
1427082551 | Jennifer M Fath | Podiatrist | 1221 S. Water Street, Suite A, Kent, OH 44240 | 2006-07-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003449430 | Seniorwell Pod of Washington LLC | Podiatrist | 506 Secord Avenue, Suite 1400, Seattle, WA 98104-2329 | 2020-02-13 |
1790337194 | Nw Foot and Ankle Specialists, LLC | Podiatrist | 12900 Ne 180th St, Ste 150, Bothell, WA 98011 | 2019-07-15 |
1174091193 | Fasa Family Wellness Pllc | Podiatrist | 5210 Corporate Center Ct Se Ste A, Lacey, WA 98503-5952 | 2018-11-07 |
1407227424 | Jeremy Cross | Podiatrist | 9399 Ridgetop Blvd Nw Ste A, Silverdale, WA 98383-8505 | 2015-10-16 |
1326427584 | Mallory Schweitzer | Podiatrist | 11212 Sunrise Blvd E Ste 203, Puyallup, WA 98374-8847 | 2015-05-21 |
1740688902 | Oot Specialists of Puget Sound, Ps | Podiatrist | 2728 E Main Ave Suite A, Puyallup, WA 98372 | 2014-12-19 |
1932507191 | & Foot Specialists of Puget Sound, Ps | Podiatrist | 4140 Factoria Blvd Se Suite 1b, Bellevue, WA 98006 | 2014-12-19 |
1013313949 | Ankle & Foot Specialists of Puget Sound, Ps | Podiatrist | 17700 Se 272nd St Ste 370, Covington, WA 98042-4951 | 2014-11-04 |
1366869893 | Stephen J Wold II | Podiatrist | 16701 Ne Mcgillivray Blvd, Ste 220, Vancouver, WA 98683 | 2014-03-21 |
1194085043 | Sara Mahmood | Podiatrist | 1560 N 115th St Ste 102, Seattle, WA 98133-8414 | 2012-05-25 |
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.