Isb.Inc

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

PO00000799 Issued in WA

Legal business name

ISB.INC

Doing business as

Advanced Foot & Ankle Clinic of Bellevue

Practice address

2001 152ND Ave NE
Redmond, WA 98052-5521

Phone

(425) 643-8901

Fax

(425) 643-8902

NPI assigned

Sep 10, 2007

Last updated

Dec 19, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ilona Barlam, DPMNPI 1780794834

Title

Owner

Phone

(425) 643-8901

Specialties & licenses 4

Addresses

Other identifiers 6

Other names 1

• Advanced Foot & Ankle Clinic of Bellevue Doing business as

Medicare fee-for-service enrollment

Enrolled in WA2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Isb, Inc

  dba Advanced Foot & Ankle Clinic of Kent

  • Podiatrist
  • Kent, WA
  • NPI 1902013428

  2567472897

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Isb, Inc

  dba Advanced Foot & Ankle Clinic of Kent

  • Podiatrist
  • Kent, WA
  • NPI 1902013428

  O20060501000478

  Same enrollment

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ilona Barlam, DPM

  • Podiatrist
  • Redmond, WA
  • NPI 1780794834
  NPD Authorized official
• Serge Barlam, DPM

  • Podiatrist
  • Redmond, WA
  • NPI 1942310008
  NPD
• Andrew Goodeill, DPM

  • Podiatrist
  • Tumwater, WA
  • NPI 1013261684
  NPD
• Joyce Eunhee Lee, DPM

  • Podiatrist
  • Redmond, WA
  • NPI 1851693519
  NPD
• Oleg Pisman, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Redmond, WA
  • NPI 1952433849
  NPD
• Theresa HT Nguyen, DPM

  • Primary Podiatric Medicine Podiatrist
  • Plano, TX
  • NPI 1487959219

  Single Specialty

  NPD

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418947200000",
    "number": "1346435765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 152ND AVE NE",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980525521",
            "telephone_number": "425-643-8901",
            "fax_number": "425-643-8902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 152ND AVE NE",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980525521",
            "telephone_number": "425-643-8901",
            "fax_number": "425-643-8902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISB.INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-10",
        "last_updated": "2014-12-19",
        "status": "A",
        "authorized_official_last_name": "BARLAM",
        "authorized_official_first_name": "ILONA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-643-8901",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "WA",
            "license": "PO00000799",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "WA",
            "license": "PO00000798",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "WA",
            "license": "PO00000798",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "WA",
            "license": "PO00000799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "0211557",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "0211559",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8458416",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8458432",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "0211560",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7133754",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Foot & Ankle Clinic of Bellevue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Integrated Rehabilitation Group Inc (Redmond Ridge Physical & Hand Therapy)
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• Invenia Therapeutic & Consultation Services, LLC
• Irene Chasen DDS PLLC (Chasen Smiles)
• Aarzu Jawaid Isa, DO
• Tomomi Ito, MA, LMHC, CDP
• Bella Mahamed Jabril
• Emily Nicole Jackson
• Gage Jackson
• Jennifer Jackson, AGACNP

• Foot Surgery Podiatrist in Redmond, WA
• Providers in Redmond, WA by specialty
• Foot Surgery Podiatrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.