Theodore Eugene Johnsrude in Silverdale - Urology
Theodore Eugene Johnsrude - NPI 1265484299
Theodore Eugene Johnsrude is a Urology in Silverdale, Washington. Theodore Eugene Johnsrude practices all healthcare services and medical treatments related to Urology. The NPI Number for Theodore Eugene Johnsrude is 1265484299. The last update date is 2023-03-07.
Theodore Eugene Johnsrude's current location address is 9398 Ridgetop Blvd Nw, Silverdale, Washington. You can contact this provider via phone number 3607823200 and fax number 3607823245. The mailing address for Theodore Eugene Johnsrude is 9398 Ridgetop Blvd Nw, Silverdale, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Theodore Eugene Johnsrude |
|---|---|
| Address | 9398 Ridgetop Blvd Nw, Silverdale, Washington |
| Phone Number | 3607823200 |
| Fax Number | 3607823245 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1265484299 |
|---|---|
| Provider Enumeration Date | 2006-05-17 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 9398 Ridgetop Blvd Nw |
|---|---|
| City | Silverdale |
| State | Washington (WA) |
| Post Code | 9838385050 |
| Phone Number | 3607823200 |
| Fax Number | 3607823245 |
Provider's Primary Taxonomy Detail
| Speciality | Urology |
|---|---|
| Taxonomy | 208800000X |
| Licence No | MD00019724 |
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Definition: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquir |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 75433 | WA | LABOR & INDUSTRIES | |
| 8316200 | WA | -- | |
| 5358025 | AETNA | ||
| JO4187 | REGENCE BLUE SHIELD |
Post Comment/ Review Below
What is the unique identifier code issued to Theodore Eugene Johnsrude by the Centers for Medicare & Medicaid Services (CMS)?
The Theodore Eugene Johnsrude has been assigned the NPI (National Provider Identifier) 1265484299. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Theodore Eugene Johnsrude's physical address?
The Theodore Eugene Johnsrude is physically located at 9398 Ridgetop Blvd Nw, in the city of Silverdale, WA, with the postal code 9838385050.
What is the area of specialization for Theodore Eugene Johnsrude, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Theodore Eugene Johnsrude is Urology, and the corresponding taxonomy code that categorizes this area of expertise is 208800000X.
On what date did the Theodore Eugene Johnsrude receive the assignment of its 1265484299 from the Centers for Medicare & Medicaid Services?
The Theodore Eugene Johnsrude was issued its 1265484299 by the Centers for Medicare & Medicaid Services on 2006-05-17.
As of what date were the Theodore Eugene Johnsrude's details last updated?
The information pertaining to the Theodore Eugene Johnsrude, including its address, specialty, and other details, was most recently updated on 2023-03-07.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY