DOUGLAS BRENT RUTAN (NPI# 1821081613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821081613 |
| Entity Type | Individual |
| Full Name | DOUGLAS BRENT RUTAN |
| Credential | DPM |
| Practice Address |
100 E 33rd St Ste 206 Vancouver WA 98663-2776 |
| Practice Telephone | 3606951334 |
| Practice Fax Number | 3609921159 |
| Mailing Telephone | 3606951334 |
| Mailing Fax Number | 3609921159 |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2018-12-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | P0515 | WA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1084516 | 05 | |
| BC | 050259000 | 01 | |
| WA | 8377137 | 05 | |
| RR MCR | 480014538 | 01 | |
| PREMARA | 164425100000 | 01 |
| Street Address |
100 E 33RD ST STE 206 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98663-2776 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013911080 | John A Zeier | Nurse Practitioner | 100 E 33rd St Ste 206, Vancouver, WA 98663-2776 | 2005-06-08 |
| 1811440548 | Stefanie Aring | Registered Nurse | 100 E 33rd St Ste 206, Vancouver, WA 98663-2776 | 2016-07-29 |
| 1659553741 | Dennis Edward Morrisroe | Family Medicine | 100 E 33rd St Ste 206, Hudson's By Medical Group Inc Ps, Vancouver, WA 98663 | 2007-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053946673 | Jessica Maree Carnes | Dental Hygienist | 6505 Nw Cherry Street, Vancouver, WA 98663 | 2020-03-04 |
| 1598247207 | Kristine Marie Mcginley | Acupuncturist | 100 East 33rd St., Ste 203a, Vancouver, WA 98663 | 2018-08-30 |
| 1932689460 | Jennifer Fowler | Behavioral Analyst | 1901 Broadway St Apt 103, Vancouver, WA 98663 | 2018-08-15 |
| 1083109755 | Kallie A Wikman | Physical Therapist | 100 E 33rd St Ste 204, Vancouver, WA 98663 | 2018-06-26 |
| 1407344872 | Kyle Besaw | Student in an Organized Health Care Education/Training Program | 300 E 33rd St Ste 100, Vancouver, WA 98663 | 2018-05-01 |
| 1023521747 | Focal Clinic Inc | Counselor | 3305 Main St Ste 205, Vancouver, WA 98663 | 2017-11-16 |
| 1215455365 | Thirty Three Oaks, LLC | Skilled Nursing Facility | 400 E. 33rd St., Vancouver, WA 98663 | 2017-09-08 |
| 1174047690 | Douglas Gangat Uy | Counselor | 1610 C Street, Suite 102, Vancouver, WA 98663 | 2017-07-26 |
| 1699206243 | Maggie May Mcgraw | Social Worker | 410 E 20th Street, Vancouver, WA 98663 | 2017-03-24 |
| 1356740328 | Joseph Kelly | Dentist | 1008 Nw 59th St., Vancouver, WA 98663 | 2014-08-15 |
| Find all providers in zip 98663 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366869893 | Stephen J Wold II | Podiatrist | 16701 Ne Mcgillivray Blvd, Ste 220, Vancouver, WA 98683 | 2014-03-21 |
| 1437426145 | Camas Foot and Ankle Pllc | Podiatrist | 16701 Se Mcgillivray Blvd Ste 220, Vancouver, WA 98683-3462 | 2011-11-23 |
| 1710201967 | Vancouver Foot and Ankle, Pllc | Podiatrist | 6108 Ne Highway 99 Ste 107, Vancouver, WA 98665-8751 | 2010-03-17 |
| 1669408118 | Joseph H Leas | Podiatrist | 416 Ne 87th Ave, Ste #2, Vancouver, WA 98664-1930 | 2006-06-25 |
| 1487647921 | Christopher Michael Coop | Podiatrist | 455 Se 177th Ave, Unit 386, Vancouver, WA 98683-4217 | 2005-08-30 |
| 1205152576 | Ellen Mercedes Wenzel | Podiatrist | 601 Se 117th Ave, Suite 240, Vancouver, WA 98683-5297 | 2010-04-12 |
| 1669798930 | Zarko Kajgana | Podiatrist | 601 Se 117th Ave, Suite 240, Vancouver, WA 98683-5297 | 2010-04-12 |
| 1285823005 | Ankle & Foot Clinic, Ps | Podiatrist | 416 Ne 87th Ave, Ste #2, Vancouver, WA 98664-1930 | 2007-10-17 |
| 1790721827 | Kurt W Davis | Podiatrist | 2415 Se 165th Ave, Ste 104, Vancouver, WA 98683 | 2006-06-20 |
| 1083653265 | Daren Benson | Podiatrist | 700 Ne 87th Ave, Vancouver, WA 98664-1913 | 2006-06-05 |
| Find all providers in VANCOUVER | ||||
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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.