Active NPI
Frederic L Johnstone, MD
- Orthopaedic Surgery Physician
- Puyallup, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- MD00023580
- Practice address
- 3801 5TH St SE
Suite 110
Puyallup, WA 98374-2106 - Phone
- (253) 845-9585
- Fax
- (253) 435-4785
- NPI assigned
- Jun 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | MD00023580 | WA | Primary |
Addresses
Primary practice location
3801 5TH St SE
Suite 110
Puyallup, WA 98374-2106
Mailing address
805 Madison St
Suite 901
Seattle, WA 98104-1172
Phone (206) 264-8100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proliance Surgeons Inc P S | Orthopaedic Surgery | Current | Accepting new patients |
| Proliance Surgeons, Inc., P.S. | Orthopaedic Surgery | Current | Accepting new patients |
| Proliance Surgeons Inc P S | Orthopaedic Surgery | Current | Accepting new patients |
Locations
20920 State Route 410 E
Bonney Lake, WA 98391
Phone (253) 845-9585
3801 5th St SE
Puyallup, WA 98374
Phone (253) 435-4774
3801 5th St SE
Ste 110
Puyallup, WA 98374
Phone (253) 845-9585
805 Madison St
Ste 901
Seattle, WA 98104
Phone (206) 264-8100
Interoperability endpoints
- frederic.johnstone.p83@direct.proliance.nextgenshare.com
Organizations & group practices 3
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.
-
- Orthopaedic Surgery Physician
- Seattle, WA
- NPI 1023170313
-
- Orthopaedic Surgery Physician
- Renton, WA
- NPI 1235091463
-
- Orthopaedic Surgery Physician
- Puyallup, WA
- NPI 1952399123
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320105600000",
"number": "1447286521",
"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": "3801 5TH ST SE",
"address_2": "SUITE 110",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983742106",
"telephone_number": "253-845-9585",
"fax_number": "253-435-4785"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSTONE",
"first_name": "FREDERIC",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-23",
"last_updated": "2011-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "WA",
"license": "MD00023580",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.