NPIMap

Organization Active NPI

Isb, Inc

  • Podiatrist
  • Kent, WA
National Provider Identifier
1902013428
Registry record updated Apr 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
ISB, INC
Practice address
10056 SE 240TH St
Suite D
Kent, WA 98031-5126
Phone
(206) 992-9914
Fax
(206) 501-2102
NPI assigned
May 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2008

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
(206) 992-9914

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

10056 SE 240TH St
Suite D
Kent, WA 98031-5126

Mailing address

4306 156TH Ave NE
TT-261
Redmond, WA 98052-5304
Phone (206) 992-9914

Other identifiers 7

IdentifierTypeStateIssuer
0211560OtherWAL&I
5981360001OtherWADMEPOS
0211559OtherWAL&I
0211557OtherWAL&I
7133754MedicaidWA
8458416MedicaidWA
8458432MedicaidWA

Other names 1

  • Advanced Foot & Ankle Clinic of Kent Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060501000478 WA Part B Supplier - Clinic/Group Practice 2567472897 Receives reassigned benefits from 6 practitioners
1 other NPI on this enrollment
Practice locations: Redmond, WA; Seattle, WA; Kent, WA; Everett, WA

Other NPIs with the same Medicare PAC ID 1

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

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1902013428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4306 156TH AVE NE",
            "address_2": "TT-261",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980525304",
            "telephone_number": "206-992-9914",
            "fax_number": "206-501-2102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10056 SE 240TH ST",
            "address_2": "SUITE D",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980315126",
            "telephone_number": "206-992-9914",
            "fax_number": "206-501-2102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISB, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "BARLAM",
        "authorized_official_first_name": "ILONA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-992-9914",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "0211560",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMEPOS",
            "identifier": "5981360001",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "0211559",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "0211557",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7133754",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8458416",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8458432",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Foot & Ankle Clinic of Kent",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kent, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; 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.