FREDERIC L JOHNSTONE (NPI# 1447286521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447286521 |
| Entity Type | Individual |
| Full Name | FREDERIC L JOHNSTONE |
| Credential | MD |
| Practice Address |
3801 5th St Se Suite 110 Puyallup WA 98374-2106 |
| Mailing Address |
805 Madison St Suite 901 Seattle WA 98104-1172 |
| Practice Telephone | 2538459585 |
| Practice Fax Number | 2534354785 |
| Mailing Telephone | 2062648100 |
| Mailing Fax Number | 2062648689 |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2011-11-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | MD00023580 | WA | Allopathic & Osteopathic Physicians |
| Street Address |
3801 5TH ST SE SUITE 110 |
| City | PUYALLUP |
| State | WA |
| Zip Code | 98374-2106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952399123 | Proliance Surgeons, Inc., P.s. | Clinic/Center | 3801 5th St Se, Suite 110, Puyallup, WA 98374-2106 | 2005-10-11 |
| 1366835068 | Jeremiah C. Brack | Physician Assistant | 3801 5th St Se, Suite 110, Puyallup, WA 98374-2106 | 2015-03-05 |
| 1497192629 | Jessica Opal Gardner | Physical Therapist | 3801 5th St Se, 220, Puyallup, WA 98374-2106 | 2013-05-29 |
| 1801029665 | Emily Ossian Hall | Physician Assistant | 3801 5th St Se, Suite 110, Puyallup, WA 98374-2106 | 2009-08-27 |
| 1922114701 | Megan Lynn Charboneau | Orthopaedic Surgery | 3801 5th St Se, Suite 110, Puyallup, WA 98374-2106 | 2006-08-22 |
| 1255363685 | Wendall W Adams | Orthopaedic Surgery | 3801 5th St Se, Suite 110, Puyallup, WA 98374-2106 | 2006-07-07 |
| 1295762979 | Steven K Yamamoto | Orthopaedic Surgery | 3801 5th St Se, Suite 110, Puyallup, WA 98374-2106 | 2006-06-27 |
| 1023044880 | Steven Chas Brack | Orthopaedic Surgery | 3801 5th St Se, Suite 110, Puyallup, WA 98374-2106 | 2006-06-24 |
| 1932135795 | Neal H Shonnard | Orthopaedic Surgery | 3801 5th St Se, Suite 110, Puyallup, WA 98374-2106 | 2006-06-24 |
| 1366487803 | Lynn Page | Physician Assistant | 3801 5th St Se, Suite 110, Puyallup, WA 98374-2106 | 2006-06-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073173977 | Courtney Yant | Registered Nurse | 300 3rd St Se, Puyallup, WA 98374 | 2019-06-13 |
| 1013480508 | Tracy Pina | Massage Therapist | 16909 123rd Ave E, Puyallup, WA 98374 | 2019-01-07 |
| 1922524917 | Edith M Wood | Registered Nurse | 13517 152nd St Ct E, Puyallup, WA 98374 | 2017-08-21 |
| 1669875993 | Jillian C S Longway | Registered Nurse | 11102 Sunrise Blvd E Ste 103, Puyallup, WA 98374 | 2014-10-01 |
| 1427302025 | Nadeem Jaffer | Internal Medicine | 3800 3rd St. Se, Puyallup, WA 98374 | 2012-11-04 |
| 1851605356 | Madigan Army Medical Ctr | Clinic/Center | 15600 Meridan Ave, Sunrise Village Center, East Puyallup, WA 98374 | 2010-07-27 |
| 1326368135 | Matt Karl Jahns | Massage Therapist | 2402 20th St Se, Puyallup, WA 98374 | 2010-06-03 |
| 1982833208 | Roxy Sturgeon | Speech-Language Pathologist | 2309 43rd Ave Se, Puyallup, WA 98374 | 2009-07-08 |
| 1497921191 | Morgan Counseling Services Inc. | Substance Abuse Rehabilitation Facility | 10312 120th Street East, Suite #3, Puyallup, WA 98374 | 2008-05-02 |
| 1700055795 | Walter Royal Patterson Jr. | Registered Nurse | 11102 Sunrise Blvd. E., Ste. 103, Woodcreek Healthcare, Puyallup, WA 98374 | 2008-02-25 |
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| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831146430 | Donald Mott | Orthopaedic Surgery | 402 15th Ave Se, Puyallup, WA 98372-3709 | 2006-05-28 |
| 1609049295 | Benjamin Y Chen | Orthopaedic Surgery | 1450 5th St Se Ste 4200, Puyallup, WA 98372-4604 | 2008-04-04 |
| 1043371909 | Ryan Riel | Orthopaedic Surgery | 11212 Sunrise Blvd E, #201, Puyallup, WA 98374-8847 | 2006-12-13 |
| 1942318522 | William A Bulley Jr. | Orthopaedic Surgery | 324 E Pioneer Ave, Puyallup, WA 98372-3264 | 2006-08-25 |
| 1134137748 | Paul S Degenfelder | Orthopaedic Surgery | 1450 5th St Se, Ste 4200, Puyallup, WA 98372-4602 | 2006-08-03 |
| 1295762979 | Steven K Yamamoto | Orthopaedic Surgery | 3801 5th St Se, Suite 110, Puyallup, WA 98374-2106 | 2006-06-27 |
| 1023044880 | Steven Chas Brack | Orthopaedic Surgery | 3801 5th St Se, Suite 110, Puyallup, WA 98374-2106 | 2006-06-24 |
| 1013951805 | John T Steedman Jr. | Orthopaedic Surgery | 3801 5th St Se, Suite 110, Puyallup, WA 98374-2106 | 2006-06-15 |
| 1316987803 | Anthony Beaumont Van Bergeyk | Orthopaedic Surgery | 3801 5th St Se, Suite 110, Puyallup, WA 98374-2106 | 2006-06-07 |
| 1912958562 | Wendy Leigh Heusch | Orthopaedic Surgery | 3801 5th St Se, Suite 110, Puyallup, WA 98374-2106 | 2006-05-16 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.