James F Kruidenier, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

MD00019766 Issued in WA

Practice address

500 Lilly Rd NE
Suite 204
Olympia, WA 98506-5195

Phone

(360) 413-8191

Fax

(360) 413-8110

NPI assigned

Nov 7, 2005

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Gastroenterology Associates, PLLC

  • Gastroenterology Physician
  • Olympia, WA
  • NPI 1437102167

  Gastroenterology

  NPD (past)

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1497736573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 LILLY RD NE",
            "address_2": "SUITE 204",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065195",
            "telephone_number": "360-413-8191",
            "fax_number": "360-413-8110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 LILLY RD NE",
            "address_2": "SUITE 204",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065195",
            "telephone_number": "360-413-8191",
            "fax_number": "360-413-8110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUIDENIER",
        "first_name": "JAMES",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-07",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "WA",
            "license": "MD00019766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD LISENCE",
            "identifier": "MD00019766",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Joe Krizan, MD
• Matthew Michael Krnich
• Emilie Kromer, M.A., L.M.H.C.
• Sai Charan Krovi, PHARM.D
• Richard Tang Krug, M.D.
• Barbara Ann Krulich, PA
• Alison Krull
• Amber Rose Krumbholz, LMFT
• Erika Krupp
• Wendy Ann Kruse, ARNP

• All providers in Olympia, WA
• Gastroenterology 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.