Keith J Vander Griend, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD00037002 Issued in WA

Practice address

2940 Squalicum Pkwy
Suite 204
Bellingham, WA 98225-1892

Phone

(360) 733-0070

Fax

(360) 676-8351

NPI assigned

Jun 12, 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 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Surgery

Education

Vanderbilt University School of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Parkway General SurgeonsGroup PAC ID 5597840231, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Peacehealth St Joseph Medical Center Hospital, Bellingham, WA, CCN 500030

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: keithvandergriend@pgspllc.allscriptsdirect.net

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.

• Parkway General Surgeons

  • Specialist
  • Bellingham, WA
  • NPI 1306992037
  Medicare reassignment Care Compare group NPD
• Fourth Corner Neurosurgical Associates Inc PS

  • Neurological Surgery Physician
  • Bellingham, WA
  • NPI 1699846386

  Specialist

  NPD (past)
• Parkway Surgical Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Bellingham, WA
  • NPI 1346396082
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Peacehealth

  • Rural Acute Care Hospital
  • Bellingham, WA
  • NPI 1487904546
  Care Compare affiliation
• Peacehealth

  • General Acute Care Hospital
  • Bellingham, WA
  • NPI 1689677320
  Care Compare affiliation
• St Joseph Hospital

  • Clinical Medical Laboratory
  • Bellingham, WA
  • NPI 1013137173

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343174400000",
    "number": "1740222728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2940 SQUALICUM PKWY",
            "address_2": "SUITE 204",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251892",
            "telephone_number": "360-733-0070",
            "fax_number": "360-676-8351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 SQUALICUM PKWY",
            "address_2": "SUITE 204",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251892",
            "telephone_number": "360-733-0070",
            "fax_number": "360-676-8351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDER GRIEND",
        "first_name": "KEITH",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2012-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MD00037002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8240863",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Rose Van Rooyen, RN
• Anna Van Ry, RN
• Amelia M Vance, LMP
• Theresa Vandehey
• Lance Eric Vander Giessen, D.D.S.
• Joshua P Vander Wiele, LMHCA
• Janine Vander Yacht, PTA
• Carletta Mary Brown Vanderbilt, M.D.
• Tosha Vanderburg
• Orville Keith Vandergriend, M.D.

• Specialist in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2012; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.