JEFFREY MICHAEL KRUSNIAK (NPI# 1407877830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407877830 |
| Entity Type | Individual |
| Full Name | JEFFREY MICHAEL KRUSNIAK |
| Credential | D.O. |
| Practice Address |
3015 Squalicum Pkwy Ste 200 Bellingham WA 98225-1945 |
| Mailing Address |
1115 Se 164th Ave Dept 358 Vancouver WA 98683-9324 |
| Practice Telephone | 3607332092 |
| Practice Fax Number | 3607886042 |
| Mailing Telephone | 3607332092 |
| Mailing Fax Number | 3607886042 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2014-11-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | OP60390976 | WA | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | 5101013559 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4742268 | 05 | |
| MI | BCBSM GROUP ID NUMBER | 200H310170 | 01 |
| MI | BCBS ID NUMBER | JK013559 | 01 |
| Street Address |
3015 SQUALICUM PKWY STE 200 |
| City | BELLINGHAM |
| State | WA |
| Zip Code | 98225-1945 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033110309 | Warren S Taranow | Orthopaedic Surgery | 3015 Squalicum Pkwy, Bellingham, WA 98225-1945 | 2005-08-09 |
| 1730529934 | Cindy R Peers | Nurse Practitioner | 3015 Squalicum Pkwy, Suite 100, Bellingham, WA 98225-1945 | 2013-07-02 |
| 1548504921 | Lillian Meyers Pavlik | Nurse Practitioner | 3015 Squalicum Pkwy, Suite 120, Bellingham, WA 98225-1945 | 2012-11-26 |
| 1801142062 | Squalicum Surgical Associates, Pllc | Surgery | 3015 Squalicum Pkwy, Suite 250, Bellingham, WA 98225-1945 | 2012-07-25 |
| 1396026225 | Jessie Burr Hockett | Physician Assistant | 3015 Squalicum Pkwy, Ste 140, Bellingham, WA 98225-1945 | 2011-09-06 |
| 1215227822 | Simarjit Kaur Shergill | Internal Medicine | 3015 Squalicum Pkwy, Bellingham, WA 98225-1945 | 2011-04-15 |
| 1578889218 | Stephanie K Cramer | Ophthalmology | 3015 Squalicum Pkwy, Ste 260, Bellingham, WA 98225-1946 | 2010-04-19 |
| 1750518437 | Michael Higgins | Surgery | 3015 Squalicum Pkwy, Suite 250, Bellingham, WA 98225-1945 | 2009-06-19 |
| 1962642843 | Shelby Rose Hein | Family Medicine | 3015 Squalicum Pkwy, Suite #120, Bellingham, WA 98225-1945 | 2009-03-04 |
| 1326290628 | Shannon Marie Billau | Family Medicine | 3015 Squalicum Pkwy, Suite #160, Bellingham, WA 98225-1945 | 2008-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578183729 | Family Care Network Pllc | Clinic/Center | 3548 Meridian St, Suite #101-b, Bellingham, WA 98225 | 2020-04-17 |
| 1770129264 | Ariella K Ross | Massage Therapist | 2701 Northwest Avenue, Bellingham, WA 98225 | 2019-11-20 |
| 1467006205 | Family Care Network, Pllc | Family Medicine | 805 W. Orchard Drive, Suite 6, Bellingham, WA 98225 | 2019-07-30 |
| 1487110375 | Rhonda Beth Steel | Massage Therapist | Fairhaven Harbor, 1310 9th Street Penthouse No. 504, Fairhaven/bellingham, WA 98225 | 2019-02-15 |
| 1366915316 | Alexander Knight Acupuncture Inc | Acupuncturist | 12 Bellwether Way, Suite 201, Bellingham, WA 98225 | 2019-01-02 |
| 1902372998 | Northwest Telepsychiatry, Pllc | Psychiatry & Neurology | 114 W. Magnolia St., Suite 505, Bellingham, WA 98225 | 2018-10-17 |
| 1639650336 | Jennifer Sue Cogen | Massage Therapist | 2701 Northwest Ave. (ohana Pacific, Inc.), Bellingham, WA 98225 | 2018-08-22 |
| 1013414036 | Tamara C Dee | Social Worker | 1313 E Maple St Ste 229, Bellingham, WA 98225 | 2018-04-06 |
| 1417468596 | Samantha Grace Smith | Counselor | 920 Harris Avenue, 202-e, Bellingham, WA 98225 | 2017-10-17 |
| 1710406731 | Shalom Maria Shreve | Counselor | 1133 Railroad Ave., Suite 100, Bellingham, WA 98225 | 2017-09-11 |
| Find all providers in zip 98225 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851653257 | Robert Frederick Smith | Orthopaedic Surgery | 618west Lake Samish Drive, Bellingham, WA 98229-9370 | 2012-06-12 |
| 1760557680 | Alan Solomon | Orthopaedic Surgery | 116 Mechanic St, Unit 1, Bellingham, MA 02019-1678 | 2006-11-24 |
| 1033110309 | Warren S Taranow | Orthopaedic Surgery | 3015 Squalicum Pkwy, Bellingham, WA 98225-1945 | 2005-08-09 |
| 1336145721 | Carla S Smith | Orthopaedic Surgery | 3015 Squalicum Pkwy Ste 200, Bellingham, WA 98225-1906 | 2005-06-22 |
| 1730536962 | Alexander Tabayoyon | Orthopaedic Surgery | 2979 Squalicum Pkwy Ste 203, Bellingham, WA 98225 | 2016-05-18 |
| 1972703908 | Carter David Kiesau | Orthopaedic Surgery | 3015 Squalicum Pkwy, Bellingham, WA 98225-1945 | 2007-07-18 |
| 1336344944 | Matthew M Oswin | Orthopaedic Surgery | 3015 Squalicum Parkway, Suite 200, Bellingham, WA 98225 | 2007-06-15 |
| 1417977208 | Pacific Rim Orthopaedic Surgeons | Orthopaedic Surgery | 2979 Squalicum Pkwy, Suite #203, Bellingham, WA 98225-1811 | 2006-07-21 |
| 1790704856 | Michael Kevin Gannon | Orthopaedic Surgery | 2979 Squalicum Pkwy, Suite #203, Bellingham, WA 98225-1811 | 2006-07-19 |
| 1821017104 | Michael Alan Thorpe | Orthopaedic Surgery | 2979 Squalicum Pkwy, Suite #203, Bellingham, WA 98225-1811 | 2006-07-18 |
| Find all providers in BELLINGHAM | ||||
| City | BELLINGHAM |
| Zip Code | 98225 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.