RICHARD TANG KRUG (NPI# 1558383828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558383828 |
Entity Type | Individual |
Full Name | RICHARD TANG KRUG |
Credential | M.D. |
Practice Address |
3610 Ensign Rd Ne Olympia WA 98506-5025 |
Practice Telephone | 3604935252 |
Practice Fax Number | 3604935257 |
Mailing Telephone | 3604935252 |
Mailing Fax Number | 3604935257 |
Enumeration Date | 2006-07-24 |
Last Update Date | 2012-11-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
MD00038172 | WA | Allopathic & Osteopathic Physicians |
Street Address |
3610 ENSIGN RD NE |
City | OLYMPIA |
State | WA |
Zip Code | 98506-5025 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760404131 | James Leonard Reus | Surgery | 3610 Ensign Rd Ne, Olympia, WA 98506-5025 | 2006-07-24 |
1275938755 | Vanessa Hanna Franson | Nurse Practitioner | 3610 Ensign Rd Ne, Olympia, WA 98506-5025 | 2014-10-27 |
1427397462 | Samuel Jacob Michel | Surgery | 3610 Ensign Rd Ne, Olympia, WA 98506-5025 | 2013-02-12 |
1205064565 | Rebecca Freeman | Surgery | 3610 Ensign Rd Ne, Olympia, WA 98506-5025 | 2009-06-25 |
1659515211 | Bethanie Rosella White | Surgery | 3610 Ensign Rd Ne, Olympia, WA 98506-5025 | 2009-04-27 |
1447445424 | Surgical Associates Pllc | Surgery | 3610 Ensign Rd Ne, Olympia, WA 98506-5025 | 2007-09-12 |
1922020296 | Chris Nolan Griffith | Surgery | 3610 Ensign Rd Ne, Olympia, WA 98506-5025 | 2006-07-24 |
1184646457 | Kevin Dewey Robinson | Surgery | 3610 Ensign Rd Ne, Olympia, WA 98506-5025 | 2006-07-24 |
1851313134 | Robin Grace Ellingson-miller | Nurse Practitioner | 3610 Ensign Rd Ne, Olympia, WA 98506-5025 | 2006-07-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477185460 | Chloe Harper | Technician, Other | 3443 Lilly Rd Se, Ste B, Olympia, WA 98506 | 2020-02-07 |
1912543539 | Jessica Marie Radakovich | Licensed Practical Nurse | 3426 Mary Elder Rd, Olympia, WA 98506 | 2019-11-19 |
1669014973 | Arlene Josephine Adams | Registered Nurse | 413 Lily Rd Ne, Olympia, WA 98506 | 2019-10-09 |
1861999120 | Debra Delores Barker | Licensed Practical Nurse | 3710 South Bay Rd Ne, Olympia, WA 98506 | 2018-04-12 |
1801304431 | Michelle Warner | Nurse Practitioner | 205 Lilly Rd Ne Ste A1, Olympia, WA 98506 | 2018-01-17 |
1396258364 | Institute for Family Development | Community/Behavioral Health | 204 Quince St. Ne, Suite 200, Olympia, WA 98506 | 2017-11-13 |
1083137715 | Cameron Kunkel | Specialist/Technologist | 2512 20th Ave Ne, Olympia, WA 98506 | 2017-07-25 |
1184144768 | Trevor Shane Kwan | Family Medicine | 525 Lilly Road Ne, Olympia, WA 98506 | 2017-06-23 |
1073043212 | Michael H Harburg | Behavior Technician | 3857 Martin Way Ne, Olympia, WA 98506 | 2017-06-19 |
1780114371 | Priscilla Kangyang Jadu | Counselor | 3857 Martin Way E., Olympia, WA 98506 | 2017-06-15 |
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Taxonomy Code | 2086S0129X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Vascular Surgery |
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528387941 | Sara Jane Wasilenko | Surgery | 128 Lilly Rd Ne Ste 205, Olympia, WA 98506-7400 | 2010-05-25 |
1760404131 | James Leonard Reus | Surgery | 3610 Ensign Rd Ne, Olympia, WA 98506-5025 | 2006-07-24 |
1902883002 | George M Brennan | Surgery | 700 Lilly Road N.e., Group Health Olympia Medical Center, Olympia, WA 98506-5115 | 2005-12-29 |
1982961173 | Louise May | Surgery | 128 Lilly Rd Ne Ste 205, Olympia, WA 98506-7400 | 2012-04-12 |
1447445424 | Surgical Associates Pllc | Surgery | 3610 Ensign Rd Ne, Olympia, WA 98506-5025 | 2007-09-12 |
1922020296 | Chris Nolan Griffith | Surgery | 3610 Ensign Rd Ne, Olympia, WA 98506-5025 | 2006-07-24 |
1184646457 | Kevin Dewey Robinson | Surgery | 3610 Ensign Rd Ne, Olympia, WA 98506-5025 | 2006-07-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710496922 | Sunnyside Community Hospital Association | Surgery | 1005 W Walnut St Ste 201, Yakima, WA 98902-3384 | 2017-09-20 |
1750762415 | Anna Ohlsson | Surgery | 325 9th Ave # 359908, Seattle, WA 98104-2420 | 2015-06-17 |
1356722938 | Usa Vascular Centers of Kent Pllc | Surgery | 26124a Pacific Hwy S Ste A, Kent, WA 98032-6910 | 2015-06-09 |
1154602084 | Memorial Physicians, Pllc | Surgery | 1812 E Edison Ave, Sunnyside, WA 98944-1653 | 2011-09-06 |
1801051404 | Franciscan Medical Group | Surgery | 710 S 348th St, Ste A, Federal Way, WA 98003-7042 | 2008-07-23 |
1013104165 | John S Arthur | Surgery | 2528 Wheaton Way Ste 101, Bremerton, WA 98310-3305 | 2007-10-02 |
1891986097 | Vascular Associates, Ps | Surgery | 801 Broadway Ste 522, Seattle, WA 98122-4325 | 2007-08-05 |
1447464730 | Mai Thanh Pham | Surgery | 1229 Madison St Suite # 1190, Seattle, WA 98104 | 2007-05-09 |
1649491481 | Dae Young Lee | Surgery | 1100 Goethals Drive 3rd Floor, Kadlec Clinic Vascular Surgery, Richland, WA 99352-3304 | 2007-05-01 |
1497975361 | Rolando I Celis Valdiviezo | Surgery | 1330 Rockefeller Ave Ste 520, Everett, WA 98201 | 2007-04-26 |
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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.