Russell S Vanderwilde (NPI# 1871562967, PAC ID# 8123019775) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is SPORTS MEDICINE.
| Nation Provider ID (NPI) | 1871562967 |
| PAC ID by PECOS | 8123019775 |
| Professional Enrollment ID | I20091230000481 |
| Full Name | Russell S Vanderwilde |
| Organization Legal Name | NORTHWEST ORTHOPAEDIC SPECIALISTS PS |
| Address |
601 W 5th Ave Suite 400 Spokane WA 99204-2715 |
| Phone Number | 5093442663 |
| Gender | M |
| Medical School | UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE |
| Graduation Year | 1987 |
| Primary Specialty | SPORTS MEDICINE |
| Secondary Specialties | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 7113811654 |
| Number of Group Practice Members | 47 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 501309 | PROVIDENCE ST JOSEPH HOSPITAL |
| 500054 | PROVIDENCE SACRED HEART MEDICAL CENTER |
| 501326 | PROVIDENCE MOUNT CARMEL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 601 W 5th Ave, Suite 400, Spokane, WA 99204-2715 | 5093442663 | NORTHWEST ORTHOPAEDIC SPECIALISTS PS |
| Organization Legal Name | NORTHWEST ORTHOPAEDIC SPECIALISTS PS |
| Physicians | 47 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica M Kohring | Orthopedic Surgery | Northwest Orthopaedic Specialists Ps | 12410 E Sinto Ave, Suite 201, Spokane Valley, WA 99216-2280 |
| Todd W Bauernfeind | Certified Registered Nurse Anesthetist (crna) | Northwest Orthopaedic Specialists Ps | 601 W 5th Ave, Suite 400, Spokane, WA 99204-2715 |
| Todd A Ostlie | Physician Assistant | Northwest Orthopaedic Specialists Ps | 601 W 5th Ave, Suite 400, Spokane, WA 99204-2715 |
| John C Boyd | Physician Assistant | Northwest Orthopaedic Specialists Ps | 601 W 5th Ave, Suite 400, Spokane, WA 99204-2715 |
| Patrick S Lynch Jr. | Orthopedic Surgery | Northwest Orthopaedic Specialists Ps | 601 W 5th Ave, Suite 400, Spokane, WA 99204-2715 |
| Michael A Dieter | Physician Assistant | Northwest Orthopaedic Specialists Ps | 601 W 5th Ave, Suite 400, Spokane, WA 99204-2715 |
| Henry H Lin | Hand Surgery | Northwest Orthopaedic Specialists Ps | 601 W 5th Ave, Suite 400, Spokane, WA 99204-2715 |
| Teresa A Hayes | Certified Registered Nurse Anesthetist (crna) | Northwest Orthopaedic Specialists Ps | 601 W 5th Ave, Suite 400, Spokane, WA 99204-2715 |
| Alexander K Reichard | Orthopedic Surgery | Northwest Orthopaedic Specialists Ps | 601 W 5th Ave, Suite 400, Spokane, WA 99204-2715 |
| Donald E Ellingsen | Orthopedic Surgery | Northwest Orthopaedic Specialists Ps | 601 W 5th Ave, Suite 400, Spokane, WA 99204-2715 |
| Street Address |
601 W 5TH AVE SUITE 400 |
| City | SPOKANE |
| State | WA |
| Zip | 99204-2715 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jesse Ethan Brouwer | Physical Therapy | Inspire Physical and Hand Therapy Spokane Inc Ps | 601 W 5th Ave, Suite 308, Spokane, WA 99204-2714 |
| Kari J L Bowton | Occupational Therapy | Inspire Physical and Hand Therapy Spokane Inc Ps | 601 W 5th Ave, Suite 308, Spokane, WA 99204-2714 |
| Todd W Bauernfeind | Certified Registered Nurse Anesthetist (crna) | Northwest Orthopaedic Specialists Ps | 601 W 5th Ave, Suite 400, Spokane, WA 99204-2715 |
| Todd A Ostlie | Physician Assistant | Northwest Orthopaedic Specialists Ps | 601 W 5th Ave, Suite 400, Spokane, WA 99204-2715 |
| John C Boyd | Physician Assistant | Northwest Orthopaedic Specialists Ps | 601 W 5th Ave, Suite 400, Spokane, WA 99204-2715 |
| Patrick S Lynch Jr. | Orthopedic Surgery | Northwest Orthopaedic Specialists Ps | 601 W 5th Ave, Suite 400, Spokane, WA 99204-2715 |
| Michael A Dieter | Physician Assistant | Northwest Orthopaedic Specialists Ps | 601 W 5th Ave, Suite 400, Spokane, WA 99204-2715 |
| Henry H Lin | Hand Surgery | Northwest Orthopaedic Specialists Ps | 601 W 5th Ave, Suite 400, Spokane, WA 99204-2715 |
| Teresa A Hayes | Certified Registered Nurse Anesthetist (crna) | Northwest Orthopaedic Specialists Ps | 601 W 5th Ave, Suite 400, Spokane, WA 99204-2715 |
| Alexander K Reichard | Orthopedic Surgery | Northwest Orthopaedic Specialists Ps | 601 W 5th Ave, Suite 400, Spokane, WA 99204-2715 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth K Ohalloran | Family Practice | Providence Health and Services Washington | 105 E 8th Ave, Spokane, WA 99204 |
| Monica M Zherebtsov | Pediatric Medicine | Providence Health and Services Washington | 105 E 8th Ave, Suite 418, Spokane, WA 99204 |
| Mark P Guthrie | Chiropractic | Healing Center Inc. | 1625 W 4th Ave, Suite 200, Spokane, WA 99204-1720 |
| Kathleen D Lavis | Chiropractic | Healing Center Inc. | 1625 W 4th Ave, Suite 200, Spokane, WA 99204-1720 |
| Darcy A Kelly | Chiropractic | Healing Center Inc. | 1625 W 4th Ave, Suite 200, Spokane, WA 99204-1720 |
| Lucy E Peterson | Plastic and Reconstructive Surgery | 105 W 8th Ave, Spokane, WA 99204-2300 | |
| Kellen Ross Gumm | Physician Assistant | Providence Health and Services - Wa | 122 W 7th Ave, 110 Northwest Heart and Lung Surgical Association, Spokane, WA 99204-2301 |
| Maria C Cassel | Physician Assistant | Providence Health and Services - Wa | 122 W 7th Ave, Spokane, WA 99204-2301 |
| Michelle Minyoung Rhee | Physician Assistant | Providence Health and Services - Wa | 122 W 7th Ave, Spokane, WA 99204-2301 |
| Anisha Boetel | Psychiatry | Providence Health and Services Washington | 105 W 8th Ave, Suite 450e, Spokane, WA 99204-2302 |
| Find all physicians in zip 99204 | |||
| City | SPOKANE |
| Zip Code | 99204 |
| Specialty | SPORTS MEDICINE |
| City + Specialty | SPOKANE + SPORTS MEDICINE |
Please comment or provide details below to improve the information on Russell S Vanderwilde.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.