Washington Podiatry

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

PO60204241 Issued in WA

Legal business name

WASHINGTON PODIATRY

Practice address

22510 SE 64TH PL
Issaquah, WA 98027-5390

Phone

(800) 554-8144

NPI assigned

Jul 29, 2014

Last updated

Jul 29, 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. Stephanie Kim, DPM

Title

Physician

Phone

(206) 321-2722

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1406592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406592000000",
    "number": "1538577952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7140 115TH CT SE",
            "city": "NEWCASTLE",
            "state": "WA",
            "postal_code": "980561029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22510 SE 64TH PL",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980275390",
            "telephone_number": "800-554-8144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON PODIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-29",
        "last_updated": "2014-07-29",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "206-321-2722",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WA",
            "license": "PO60204241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Louise Warren, RPH
• Washington Center for Pain Management LLC
• Washington CVS Pharmacy LLC (CVS Pharmacy #16388)
• Washington Dental Corporation, PC (Issaquah Highlands Dental Group)
• Washington Imaging Services LLC
• Joel Mark Wasserman, M.D.
• Sarah S. Wasson, DMD
• Ryan Michael Waters, LMP
• Kayla Watson
• Way Above ABA Wa LLC

• Foot & Ankle Surgery Podiatrist in Issaquah, WA
• Providers in Issaquah, 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 29, 2014; 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.