Organization Active NPI

Kenneth H Z Isaacs PS

  • Neurology Physician
  • Walla Walla, WA
National Provider Identifier
1356302830
Registry record updated Mar 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
KENNETH H Z ISAACS PS
Practice address
301 W Poplar St
Suite 230
Walla Walla, WA 99362-2800
Phone
(509) 525-1084
Fax
(509) 529-7866
NPI assigned
Apr 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2012

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

Authorized official

Name
Kenneth H Z Isaacs, MD
Title
President
Phone
(509) 525-1084

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

301 W Poplar St
Suite 230
Walla Walla, WA 99362-2800

Mailing address

301 W Poplar St
Suite 230
Walla Walla, WA 99362-2800
Phone (509) 525-1084

National Provider Directory

National Provider Directory

Locations

301 W Poplar St
#230
Walla Walla, WA 99362
Phone (509) 525-1084

301 W Poplar St
Ste 230
Walla Walla, WA 99362
Phone (509) 525-1084

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1143849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331856000000",
    "number": "1356302830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W POPLAR ST",
            "address_2": "SUITE 230",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993622800",
            "telephone_number": "509-525-1084",
            "fax_number": "509-529-7866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W POPLAR ST",
            "address_2": "SUITE 230",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993622800",
            "telephone_number": "509-525-1084",
            "fax_number": "509-529-7866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH H Z ISAACS PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-01",
        "last_updated": "2012-03-16",
        "status": "A",
        "authorized_official_last_name": "ISAACS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "H Z",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-525-1084",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walla Walla, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2012; 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.