NPIMap

Organization Active NPI

Puget Sound Specialty Physicians PLLC

Doing business as Ankle and Foot Specialists of Issaquah

  • Foot & Ankle Surgery Podiatrist
  • Issaquah, WA
National Provider Identifier
1114106796
Registry record updated Jun 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
PUGET SOUND SPECIALTY PHYSICIANS PLLC
Doing business as
Ankle and Foot Specialists of Issaquah
Practice address
2005 NW Sammamish Rd
Issaquah, WA 98027-8940
Phone
(253) 631-0585
Fax
(253) 631-0596
NPI assigned
Oct 30, 2007
Organization subpart
Yes
Parent organization
PUGET SOUND SPECIALTY PHYSICIANS PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 5, 2008

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

Authorized official

Name
Ryan A Bierman, DPM
Title
Physician
Phone
(253) 631-0585

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X WA Primary

Addresses

Primary practice location

2005 NW Sammamish Rd
Issaquah, WA 98027-8940

Mailing address

2728 E Main Ave
Suite a
Puyallup, WA 98372-3198
Phone (253) 841-2006

Other names 1

  • Ankle and Foot Specialists of Issaquah Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Puget Sound Spec Phys PLLC4 organizations share this tax ID, including this one
Part of
Puget Sound Spec Phys PLLC

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212624000000",
    "number": "1114106796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2728 E MAIN AVE",
            "address_2": "SUITE A",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983723198",
            "telephone_number": "253-841-2006",
            "fax_number": "253-840-6691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 NW SAMMAMISH RD",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980278940",
            "telephone_number": "253-631-0585",
            "fax_number": "253-631-0596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUGET SOUND SPECIALTY PHYSICIANS PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PUGET SOUND SPECIALTY PHYSICIANS PLLC",
        "enumeration_date": "2007-10-30",
        "last_updated": "2008-06-05",
        "status": "A",
        "authorized_official_last_name": "BIERMAN",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "253-631-0585",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ankle and Foot Specialists of Issaquah",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Issaquah, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; 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.