DR. RUSSELL A DEGROOTE (NPI# 1689684771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689684771 |
| Entity Type | Individual |
| Full Name | DR. RUSSELL A DEGROOTE |
| Credential | M.D. |
| Practice Address |
939 Caroline St Port Angeles WA 98362-3909 |
| Mailing Address |
265 Lisel Ln Port Angeles WA 98362-7492 |
| Practice Telephone | 3604177000 |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2020-03-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | MD60661553 | WA | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | 114055 | AK | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | 26594 | NE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 30471753 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1621 Tongass Ave Ste 207, Ketchikan, AK 999016072 | 3608883381 | 8665664910 |
| 265 Lisel Ln, Port Angeles, WA 983627492 | 3608883381 |
| Street Address |
939 CAROLINE ST |
| City | PORT ANGELES |
| State | WA |
| Zip Code | 98362-3909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295739829 | Pamela J Bundy | Anesthesiology | 939 Caroline St, Port Angeles, WA 98362-3909 | 2005-06-10 |
| 1508463902 | Amy Kalisek | Nurse Practitioner | 939 Caroline St, Port Angeles, WA 98362-3997 | 2020-10-08 |
| 1376155721 | Tierra Renee Thompson | Social Worker | 939 Caroline St, Port Angeles, WA 98362-3909 | 2020-08-18 |
| 1194344333 | Kassandra Simmons Yager | Nurse Practitioner | 939 Caroline St, Port Angeles, WA 98362-3909 | 2020-04-08 |
| 1285286534 | Trevor Jackman | Physician Assistant | 939 Caroline St, Port Angeles, WA 98362-3997 | 2019-07-16 |
| 1295391357 | Kelly Michelle Mann | Nurse Practitioner | 939 Caroline St, Port Angeles, WA 98362-3997 | 2019-05-14 |
| 1023580461 | Fallon Ann Clancy | Physician Assistant | 939 Caroline St, Port Angeles, WA 98362-3997 | 2018-12-26 |
| 1548740210 | King County Public Hospital District No. 2 | Neurological Surgery | 939 Caroline St, Port Angeles, WA 98362 | 2018-08-21 |
| 1619460185 | Emily Allison Allen | Speech-Language Pathologist | 939 Caroline St, Port Angeles, WA 98362-3997 | 2018-06-10 |
| 1093215121 | Elizabeth Schuerman | Dietitian, Registered | 939 Caroline St, Port Angeles, WA 98362-3909 | 2018-02-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831735778 | Jayme Marie Williams | Technician | 518 S. Liberty St., Port Angeles, WA 98362 | 2019-11-26 |
| 1780229559 | Barbara Amsler Nutrition, Pllc | Dietitian, Registered | 320 E. 5th St., Port Angeles, WA 98362 | 2019-11-15 |
| 1902315005 | Barbara Amsler | Nutritionist | 116 S. Ennis St, Port Angeles, WA 98362 | 2017-09-21 |
| 1134659667 | Janet Li Hanson | Registered Nurse | 532 South Alder Lane, Port Angeles, WA 98362 | 2017-06-18 |
| 1790220192 | Monica Kay Henry | Massage Therapist | 102 1/2 East 1st Street Suite #7, Port Angeles, WA 98362 | 2016-12-21 |
| 1124491725 | Gabrielle Carter | Naturopath | 1126 Columbia St, Port Angeles, WA 98362 | 2015-11-04 |
| 1912301185 | Danya Lyn Davis | Massage Therapist | 106 W. Lauridsen Blvd., Port Angeles, WA 98362 | 2014-10-17 |
| 1528470861 | Richard Dean Thorson | Orthopaedic Surgery | 719 S. Laurel St, Olympic Chiropractic, Port Angels, WA 98362 | 2014-05-21 |
| 1780001743 | Dr Adam Cramer Pllc | Clinic/Center | 104 W. 3rd St, Port Angeles, WA 98362 | 2014-03-27 |
| 1588089189 | Melanie Mccaughan | Counselor | 933 E First St, Port Angeles, WA 98362 | 2014-02-19 |
| Find all providers in zip 98362 | ||||
| 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 |
|---|---|---|---|---|
| 1477996726 | Joseph Charles Novak | Orthopaedic Surgery | 535 E Park Ave, Port Angeles, WA 98362-6937 | 2013-04-16 |
| 1497958359 | Richard Ney Canaan | Orthopaedic Surgery | 909 Georglanee Street, Vimo Clinic, Port Angeles, WA 98362-4709 | 2007-06-07 |
| 1255656542 | Dustin L Larson | Orthopaedic Surgery | 907 Georgiana St, Port Angeles, WA 98362-3911 | 2010-03-30 |
| 1285868919 | Thomas Alan Herschmiller | Orthopaedic Surgery | 907 Georgiana St, Port Angeles, WA 98362-3911 | 2009-05-09 |
| 1023291812 | Dirk A. Gouge, D.o. | Orthopaedic Surgery | 1004 Caroline St, Port Angeles, WA 98362-3902 | 2007-12-14 |
| 1598963209 | Olympic Medical Physicians | Orthopaedic Surgery | 1004 Caroline St, Port Angeles, WA 98362-3902 | 2007-07-03 |
| 1871655738 | Strait Orthopedic Specialists | Orthopaedic Surgery | 1112 Caroline St, Port Angeles, WA 98362-4204 | 2006-12-15 |
| 1861550766 | Loren M Larson | Orthopaedic Surgery | 907 Georgiana St, Port Angeles, WA 98362-3911 | 2006-12-04 |
| 1558453944 | Henry K. Yee | Orthopaedic Surgery | 1004 Caroline St, Port Angeles, WA 98362-3902 | 2006-09-29 |
| 1639117831 | Margaret Mary Baker | Orthopaedic Surgery | 832 Georgiana St, Port Angeles, WA 98362-3512 | 2006-06-02 |
| Find all providers in PORT ANGELES | ||||
| City | PORT ANGELES |
| Zip Code | 98362 |
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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.