Russell Troutman MD PA

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

ME77559 Issued in FL

Legal business name

RUSSELL TROUTMAN MD PA

Practice address

16122 8TH Ave SW
Suite D-1
Burien, WA 98166-2967

Phone

(206) 244-1680

Fax

(206) 243-8845

NPI assigned

Oct 16, 2007

Last updated

Oct 13, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Holmes Russell Troutman Jr., M.D.NPI 1316935778

Title

Physician

Phone

(206) 244-1680

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Holmes Russell Troutman Jr., MD

  • Surgery Physician
  • Olympia, WA
  • NPI 1316935778
  NPD (past) Authorized official

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318464000000",
    "number": "1225227150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 MADISON ST",
            "address_2": "SUITE 901",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981041172",
            "telephone_number": "206-264-8100",
            "fax_number": "206-264-8689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16122 8TH AVE SW",
            "address_2": "SUITE D-1",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981662967",
            "telephone_number": "206-244-1680",
            "fax_number": "206-243-8845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL TROUTMAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2011-10-13",
        "status": "A",
        "authorized_official_last_name": "TROUTMAN",
        "authorized_official_first_name": "HOLMES",
        "authorized_official_middle_name": "RUSSELL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "206-244-1680",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME77559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "256213800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin Lactaoen Ruaro
• Julia R Ruby, MD
• Mark Rudolph, MD
• Chad Victor Ruffin, MD
• Courtney L Rulffes
• Cara Russell, LPN
• Ruth Dykeman Children's Center
• Amy Rutherford, LMT
• Thomas Michael Ryan, M.D.
• Sabrina Mandich, DDS, LLC

• Surgery Physician in Burien, WA
• Providers in Burien, WA by specialty
• Surgery Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.

Verify at the official NPI Registry.