Russell Degroote MD PC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

26594 Issued in NE

Legal business name

RUSSELL DEGROOTE MD PC

Practice address

25 Jefferson Way Ste 101
Ketchikan, AK 99901-5953

Phone

(907) 247-9999

NPI assigned

Dec 6, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Russell A DegrooteNPI 1689684771

Title

Owner

Phone

(360) 888-3381

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Russell A Degroote, M.D.

  • Orthopaedic Surgery Physician
  • Ketchikan, AK
  • NPI 1689684771
  Medicare reassignment Care Compare group Authorized official
• Miranda Marshall, FNP

  • Family Nurse Practitioner
  • Ketchikan, AK
  • NPI 1245876242
  Medicare reassignment Care Compare group NPD
• Patricia Jane Thornton, CNM

  • Advanced Practice Midwife
  • Ketchikan, AK
  • NPI 1356366371
  Medicare reassignment Care Compare group NPD
• Andrew Franklin Zink, DO

  • Obstetrics & Gynecology Physician
  • Ketchikan, AK
  • NPI 1861618704
  Medicare reassignment Care Compare group NPD
• Marina Judith-Rowe McIntyre, FNP

  • Family Nurse Practitioner
  • Ketchikan, AK
  • NPI 1336570506
  NPD
• Gregg McNeil, MD

  • Internal Medicine Physician
  • Ketchikan, AK
  • NPI 1922205582
  NPD
• Cheryl Ann Collier-Brown, MD

  • Internal Medicine Physician
  • Federal Way, WA
  • NPI 1780676783
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773273600000",
    "number": "1033278155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1099",
            "city": "WARD COVE",
            "state": "AK",
            "postal_code": "999281099",
            "telephone_number": "907-247-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 JEFFERSON WAY STE 101",
            "city": "KETCHIKAN",
            "state": "AK",
            "postal_code": "999015953",
            "telephone_number": "907-247-9999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7559 N. Tongass Ave",
            "address_purpose": "LOCATION",
            "city": "Ketchikan",
            "state": "AK",
            "postal_code": "999019182",
            "country_code": "US",
            "telephone_number": "907-247-9999",
            "fax_number": "206-339-1460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RUSSELL DEGROOTE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A",
        "authorized_official_last_name": "DEGROOTE",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-888-3381"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "NE",
            "license": "26594",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "51100231",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elisa Marie Rosier, M.D.
• Rotary House of Ketchikan Inc
• Janis A Rottschafer, CRNA
• Carly Royer
• Adrian Rubin
• Jeff L Ryan, MD
• Ty Sammons
• Ashley Sarkisian
• Nannette Scamahorn
• Shane Scamahorn

• Orthopaedic Surgery Physician in Ketchikan, AK
• Providers in Ketchikan, AK by specialty
• Orthopaedic Surgery Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.