| Theodore Eugene Johnsrude, MD | |
|
9398 Ridgetop Blvd Nw, Silverdale, WA 98383-8505 | |
| (360) 782-3200 | |
| (360) 782-3245 |
| Full Name | Theodore Eugene Johnsrude |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 9398 Ridgetop Blvd Nw, Silverdale, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265484299 | NPI | - | NPPES |
| 75433 | Other | WA | LABOR & INDUSTRIES |
| 8316200 | Medicaid | WA | |
| 5358025 | Other | AETNA | |
| JO4187 | Other | REGENCE BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | MD00019724 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Theodore Eugene Johnsrude, MD 2512 Wheaton Way, Bremerton, WA 98310-3399 Ph: () - | Theodore Eugene Johnsrude, MD 9398 Ridgetop Blvd Nw, Silverdale, WA 98383-8505 Ph: (360) 782-3200 |
Dr. Jason Michael Durbin, D.O. Urology Medicare: Accepting Medicare Assignments Practice Location: 9398 Ridgetop Blvd Nw, Silverdale, WA 98383 Phone: 360-782-3222 Fax: 360-782-3244 | |
Dr. Marc A Mitchell, DO Urology Medicare: Accepting Medicare Assignments Practice Location: 9398 Ridgetop Blvd Nw, Silverdale, WA 98383 Phone: 360-782-3222 Fax: 360-782-3245 | |
Amy Li, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 9398 Ridgetop Blvd Nw, Silverdale, WA 98383 Phone: 360-782-3200 Fax: 360-782-3244 | |
Randall James Moeller, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 9398 Ridgetop Blvd Nw, Silverdale, WA 98383 Phone: 360-782-3200 Fax: 360-782-3244 | |
Todd Jeffrey Garvin, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 9398 Ridgetop Blvd Nw, Silverdale, WA 98383 Phone: 360-782-3222 Fax: 360-782-3245 | |
Marc E. Lee, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 10452 Silverdale Way Nw, Silverdale, WA 98383 Phone: 360-307-7300 |