Individual
OLEG PISMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
2001 152ND AVE NE, REDMOND, WA 98052-5521
(425) 643-8901
(425) 643-8902
Mailing address
2001 152ND AVE NE, REDMOND, WA 98052-5521
(206) 830-0920
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
N006201
NY
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO 00000822
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000121894
GHI HMO
NY
01
—
000413920001
BLUE SHIELD
NY
01
—
0174899
GHI PPO
NY
05
—
02926130
—
NY
01
—
10128382
CDPHP
NY
01
—
2850709
UNITEDHEALTHCARE
NY
01
—
4159492
MVP
NY
01
—
9692074
AETNA
NY
01
—
P00427572
RAILROAD MEDICARE
—
Enumeration date
03/09/2007
Last updated
04/05/2016
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