Stephen Leo Roelof Jozef Isham, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

PL61571387 Issued in WA

Practice address

1660 S Columbian Way
Seattle, WA 98108-1532

Phone

(800) 329-8387

NPI assigned

May 25, 2023

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1684972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720310400000",
    "number": "1033801147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7352 S GREENSFERRY RD",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838147165",
            "telephone_number": "208-819-3441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 S COLUMBIAN WAY",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981081532",
            "telephone_number": "800-329-8387"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9600 Veterans Dr SW",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984930003",
            "country_code": "US",
            "telephone_number": "208-819-3441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISHAM",
        "first_name": "STEPHEN",
        "middle_name": "LEO ROELOF JOZEF",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-25",
        "last_updated": "2024-07-07",
        "certification_date": "2024-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WA",
            "license": "PL61571387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Marie Isbell, DO
• Amber Isenberg, L.M.T.
• Scott Normile Isenhath, M.D.
• Emily Akemi Ishado
• Gisele E Ishak
• Mariam Ishaque, MD, PHD
• Tiffany Piilani Ishibashi
• Katharine Ishida, PA-C
• Sawako Ishihara
• Megan Noelani Ishii, MD

• Foot & Ankle Surgery Podiatrist in Seattle, WA
• Providers in Seattle, WA by specialty
• Foot & Ankle Surgery Podiatrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.