Active NPI
Kruger Clinic Orthopaedics, PLLC
- Specialist
- Edmonds, WA
National Provider Identifier
1215091368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 601850391
- Legal business name
- KRUGER CLINIC ORTHOPAEDICS, PLLC
- Practice address
- 21600 Hwy 99 Ste 150
Edmonds, WA 98026 - Phone
- (425) 774-2636
- Fax
- (425) 774-2636
- NPI assigned
- Dec 21, 2006
- Last updated
- Dec 12, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas J Degan, M.D
- Title
- Medical Doctor
- Phone
- (425) 774-2636
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | NU | ||
| Specialist | 174400000X | 601850391 | WA | Primary |
Addresses
Primary practice location
21600 Hwy 99 Ste 150
Edmonds, WA 98026
Mailing address
21600 Hwy 99 Ste 150
Edmonds, WA 98026
Phone (425) 774-2636
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
-
- Ambulatory Surgical Clinic/Center
- Edmonds, WA
- NPI 1548324411
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1323648000000",
"number": "1215091368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21600 HWY 99 STE 150",
"city": "EDMONDS",
"state": "WA",
"postal_code": "98026",
"telephone_number": "425-774-2636",
"fax_number": "425-774-2688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21600 HWY 99 STE 150",
"city": "EDMONDS",
"state": "WA",
"postal_code": "98026",
"telephone_number": "425-774-2636",
"fax_number": "425-774-2636"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KRUGER CLINIC ORTHOPAEDICS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-21",
"last_updated": "2011-12-12",
"status": "A",
"authorized_official_last_name": "DEGAN",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "MEDICAL DOCTOR",
"authorized_official_telephone_number": "425-774-2636",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "601850391",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edmonds, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.