Organization Active NPI

Orcas Island Family Medicine, PC

  • Family Medicine Physician
  • Eastsound, WA
National Provider Identifier
1194778498
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ORCAS ISLAND FAMILY MEDICINE, PC
Practice address
429 Madrona St
Eastsound, WA 98245-8573
Phone
(360) 376-4949
Fax
(833) 992-2162
NPI assigned
May 18, 2006
Last updated
Jul 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Authorized official

Name
Dr. David Lee Russell, MDNPI 1740233162
Title
Owner
Phone
(360) 376-4949

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

429 Madrona St
Eastsound, WA 98245-8573

Mailing address

PO Box 1989
Eastsound, WA 98245-1989

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040401001537 WA Part B Supplier - Clinic/Group Practice 1951393503 Receives reassigned benefits from 1 practitioner
Practice locations: Eastsound, WA

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D1019351Orcas Island Family Medicine PC429 Madrona St, Eastsound, WA 98245Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Locations

33 Urner St
Ste 5
Eastsound, WA 98245
Phone (360) 376-4949

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23415/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753142400000",
    "number": "1194778498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1989",
            "city": "EASTSOUND",
            "state": "WA",
            "postal_code": "982451989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 MADRONA ST",
            "city": "EASTSOUND",
            "state": "WA",
            "postal_code": "982458573",
            "telephone_number": "360-376-4949",
            "fax_number": "833-992-2162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORCAS ISLAND FAMILY MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-376-4949",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastsound, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; 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.