ISB.INC NPI 1346435765

NPI Information

NPI: 1346435765
Provider Name: ISB.INC

Doing Business As: ADVANCED FOOT & ANKLE CLINIC OF BELLEVUE

Classification: Podiatrist - 213ES0131X
Entity Type: Organization

Specialization: Foot Surgery

Address:
2001 152ND AVE NE
REDMOND, WA
ZIP 98052
Phone: (425) 643-8901
Get Directions

ISB.INC is a foot surgery podiatrist in Redmond, WA. ISB.INC NPI is 1346435765. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Advanced Foot & Ankle Clinic Of Bellevue.

The provider's business location address is:

2001 152ND AVE NE
REDMOND, WA
ZIP 98052-521
Phone: (425) 643-8901
Fax: (425) 643-8902

The provider's authorized official is Ilona Barlam .
The authorized official title is Owner and has the following contact phone number (425) 643-8901.

The CLIA number assigned to this NPI record is 50D0945819 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/10/2007 and was last updated on 12/19/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213E00000X	Podiatrist		PO00000799	WASHINGTON	No
2	213E00000X	Podiatrist		PO00000798	WASHINGTON	No
3	213ES0131X	Podiatrist	Foot Surgery	PO00000798	WASHINGTON	No
4	213ES0131X	Podiatrist	Foot Surgery	PO00000799	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0211557	OTHER	WASHINGTON	L&I
2	7133754	MEDICAID	WASHINGTON
3	V09079	MEDICARE UPIN	WASHINGTON
4	8458432	MEDICAID	WASHINGTON
5	8458416	MEDICAID	WASHINGTON
6	0211559	OTHER	WASHINGTON	L&I
7	V09080	MEDICARE UPIN	WASHINGTON
8	8859782	MEDICARE PIN	WASHINGTON
9	8859783	MEDICARE PIN	WASHINGTON
10	0211560	OTHER	WASHINGTON	L&I
11	5981360002	MEDICARE NSC	WASHINGTON
12	8859781	MEDICARE PIN	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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