Russell Barnes Voegtlen Jr., MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD00017551 Issued in WA

Practice address

9951 Mickelberry Rd NW Ste 101
Silverdale, WA 98383-8309

Phone

(360) 692-9362

Fax

(360) 692-6214

NPI assigned

Jul 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/26189/brand/1/csg/1/fhir/r4
• Direct secure messaging: russell.voegtlen.1@26189.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kitsap Childrens Clinic

  • Pediatrics Physician
  • Silverdale, WA
  • NPI 1982778650
  NPD (past)
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1437183142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9951 MICKELBERRY RD NW STE 101",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838309",
            "telephone_number": "360-692-9362",
            "fax_number": "360-692-6214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9951 MICKELBERRY RD NW STE 101",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838309",
            "telephone_number": "360-692-9362",
            "fax_number": "360-692-6214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOEGTLEN",
        "first_name": "RUSSELL",
        "middle_name": "BARNES",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2023-03-07",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "MD00017551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA MEDICAL LICENSE",
            "identifier": "MD00017551",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1491000",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eleven Vexler, LICSW
• Vikrampsinghllc
• Sierra Sky Vinson, LMP
• Vintage Optical LLC
• Andrew R Visser, MA
• Amanda Vogt, CBD
• Carey Penton Vorholt, LCSW
• Jessica Ann Wadding, MSW, SUDP
• Timothy Vincent Wade, MD
• Jeff Wadeikis, PTA

• Pediatrics Physician in Silverdale, WA
• Providers in Silverdale, WA by specialty
• Pediatrics Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.