Theodore Eugene Johnsrude, MD in Silverdale, WA - Urology

Theodore Eugene Johnsrude, MD is a Urology physician based in Silverdale, Washington. Theodore Eugene Johnsrude is licensed to practice in Washington (license number MD00019724) and his current practice location is 9398 Ridgetop Blvd Nw, Silverdale, Washington. He can be reached at his office (for appointments etc.) via phone at (360) 782-3200.

NPI number for Theodore Eugene Johnsrude is 1265484299 and his current mailing address is 2512 Wheaton Way, Bremerton, Washington. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1265484299.

Contact Information

	Theodore Eugene Johnsrude, MD
	9398 Ridgetop Blvd Nw, Silverdale, WA 98383-8505
	(360) 782-3200
	(360) 782-3245

Physician's Profile

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.

NPI Data:

NPI Number: 1265484299
Provider Enumeration Date: 05/17/2006
Last Update Date: 03/07/2023

Medical Identifiers

Medical identifiers for Theodore Eugene Johnsrude such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265484299	NPI	-	NPPES
75433	Other	WA	LABOR & INDUSTRIES
8316200	Medicaid	WA
5358025	Other		AETNA
JO4187	Other		REGENCE BLUE SHIELD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	MD00019724 (Washington)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Theodore Eugene Johnsrude is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

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

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Urology Doctors in Silverdale, WA

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

Theodore Eugene Johnsrude, MD - Urology in Silverdale, WA