Thomas G Depuydt (NPI# 1063441236, PAC ID# 8527084219) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1063441236 |
| PAC ID by PECOS | 8527084219 |
| Professional Enrollment ID | I20051021000456 |
| Full Name | Thomas G Depuydt |
| Organization Legal Name | WASHINGTON SPORTS MEDICINE ASSOCIATES INC |
| Address |
12707 120th Ave Ne Kirkland WA 98034-7500 |
| Phone Number | 4258201221 |
| Gender | M |
| Credential | MD |
| Medical School | MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE |
| Graduation Year | 1973 |
| Primary Specialty | FAMILY PRACTICE |
| Secondary Specialties | SPORTS MEDICINE |
| Group Practice PAC ID | 3274503420 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 500124 | EVERGREENHEALTH MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 12707 120th Ave Ne, Kirkland, WA 98034-7500 | 4258201221 | WASHINGTON SPORTS MEDICINE ASSOCIATES INC |
| 12707 120th Ave Ne, Suite 203, Kirkland, WA 98034-7500 | 4258201221 | WASHINGTON SPORTS MEDICINE ASSOCIATES INC |
| Organization Legal Name | WASHINGTON SPORTS MEDICINE ASSOCIATES INC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David S Badger | Orthopedic Surgery | Washington Sports Medicine Associates Inc | 12707 120th Ave Ne, Suite 203, Kirkland, WA 98034-7500 |
| Devin S Jensen | Physician Assistant | Washington Sports Medicine Associates Inc | 12707 120th Ave Ne, Suite 203, Kirkland, WA 98034-7500 |
| Amanda R Cordes | Physician Assistant | Washington Sports Medicine Associates Inc | 12707 120th Ave Ne, Suite 203, Kirkland, WA 98034-7500 |
| Jason J Boyer | Orthopedic Surgery | Washington Sports Medicine Associates Inc | 12707 120th Ave Ne, Suite 203, Kirkland, WA 98034-7500 |
| Steven T Bramwell | Orthopedic Surgery | Washington Sports Medicine Associates Inc | 12707 120th Ave Ne, Suite 203, Kirkland, WA 98034-7500 |
| Street Address |
12707 120TH AVE NE |
| City | KIRKLAND |
| State | WA |
| Zip | 98034-7500 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Duaa H Al-jassim | Occupational Therapy | Totem Lake Physical Therapy Pllc | 12707 120th Ave Ne, Suite 203, Kirkland, WA 98034-7500 |
| Anne E Evans | Occupational Therapy | Totem Lake Physical Therapy Pllc | 12707 120th Ave Ne, Suite 203, Kirkland, WA 98034-7500 |
| David S Badger | Orthopedic Surgery | Washington Sports Medicine Associates Inc | 12707 120th Ave Ne, Suite 203, Kirkland, WA 98034-7500 |
| Devin S Jensen | Physician Assistant | Washington Sports Medicine Associates Inc | 12707 120th Ave Ne, Suite 203, Kirkland, WA 98034-7500 |
| Amanda R Cordes | Physician Assistant | Washington Sports Medicine Associates Inc | 12707 120th Ave Ne, Suite 203, Kirkland, WA 98034-7500 |
| Jason J Boyer | Orthopedic Surgery | Washington Sports Medicine Associates Inc | 12707 120th Ave Ne, Suite 203, Kirkland, WA 98034-7500 |
| Steven T Bramwell | Orthopedic Surgery | Washington Sports Medicine Associates Inc | 12707 120th Ave Ne, Suite 203, Kirkland, WA 98034-7500 |
| Jilliann Dawn Postforoosh | Physical Therapy | Washington Physical Therapy and Rehabilitation LLC | 12707 120th Ave Ne, Suite 100, Kirkland, WA 98034-7500 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Austin Edward Lubereski | Chiropractic | Ryan Coogan Dc Ps | 11902 97th Ave Ne, Kirkland, WA 98034-1882 |
| Ryan Sean Coogan | Chiropractic | Ryan Coogan Dc Ps | 11902 97th Ave Ne, Kirkland, WA 98034-1882 |
| Richard A Wyckoff | Clinical Psychologist | 13606 Ne 20th St, Suite 205, Bellevue, WA 98034-2011 | |
| Olena Sergiyivna Fox | Nurse Practitioner | Bhc Fairfax Hospital Inc | 10200 Ne 132nd St, Kirkland, WA 98034-2831 |
| Sid H Siahpush | Psychiatry | Bhc Fairfax Hospital Inc | 10200 Ne 132nd St, Kirkland, WA 98034-2831 |
| Zhendong J Ma | Psychiatry | Bhc Fairfax Hospital Inc | 10200 Ne 132nd St, Kirkland, WA 98034-2831 |
| Amy O Zachara | Nurse Practitioner | Bhc Fairfax Hospital Inc | 10200 Ne 132nd St, Kirkland, WA 98034-2831 |
| Olga G Abramova | Nurse Practitioner | Bhc Fairfax Hospital Inc | 10200 Ne 132nd St, Kirkland, WA 98034-2831 |
| Syed Kamal Mustafa | Psychiatry | Bhc Fairfax Hospital Inc | 10200 Ne 132nd St, Kirkland, WA 98034-2831 |
| Garth Edward Terry | Psychiatry | Bhc Fairfax Hospital Inc | 10200 Ne 132nd St, Kirkland, WA 98034-2831 |
| Find all physicians in zip 98034 | |||
| City | KIRKLAND |
| Zip Code | 98034 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | KIRKLAND + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Thomas G Depuydt.
| 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.