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RUSSELL DEGROOTE MD PC
NPI 1033278155
Orthopaedic Surgery in Ketchikan, AK

Active since December 06, 2006CLIA 02D2242422 · Waiver
25 JEFFERSON WAY STE 101, KETCHIKAN, AK 99901(907) 247-9999 Get Directions Write a Review

NPPES record last updated: March 12, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Mar 12, 2026, Dec 21, 2021, Feb 24, 2020 (3 updates tracked since 2020).

About Russell Degroote Md Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RUSSELL DEGROOTE MD PC (NPI 1033278155) is a healthcare organization registered as an orthopaedic surgery in Ketchikan, Alaska and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through November 7, 2027, maintains a secondary practice location in Ketchikan, and lists Russell A Degroote, Owner, as its authorized official.

NPPES Registry Identity

NPI1033278155
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameRUSSELL DEGROOTE MD PC
Location Address25 JEFFERSON WAY STE 101Ketchikan, AK 99901-5953
Mailing AddressPo Box 1099Ward Cove, AK 99928-1099 · (907) 247-9999
Phone(907) 247-9999
Organization SubpartNo
Authorized OfficialRussell A DegrooteOwner · (360) 888-3381
Enumeration DateDecember 6, 2006
Last NPPES UpdateMarch 12, 20263 updates tracked since enumeration
NPPES CertifiedMarch 12, 2026
✔ NPI 1033278155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in NE · 26594
Definition
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.
25 JEFFERSON WAY STE 101, Ketchikan, AK 99901
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Secondary Practice Location 1

Location 17559 N. Tongass AveKetchikan, AK 99901-9182 · Phone (907) 247-9999 · Fax (206) 339-1460

Other Identifiers 1

Medicaid51100231CO

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 02D2242422

Russell Degroote MD, PC · Ketchikan, AK
Active · expires Nov 7, 2027
CLIA Number02D2242422
Laboratory TypePhysician Office
Certificate Effective DateNovember 8, 2025
Certificate Expiration DateNovember 7, 2027
Laboratory DirectorDr. Russell A. Degroote
Laboratory Phone(907) 247-9999
Laboratory LocationRussell Degroote MD, PC25 Jefferson Way, Ste 101A, Ketchikan, AK 99901
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MIRANDA MARSHALL FNP
Nurse Practitioner (Family)
25 JEFFERSON WAY STE 101
KETCHIKAN, AK 99901
Ketchikan Gateway Borough (907) 247-9999
MS. PATRICIA JANE THORNTON CNM
Advanced Practice Midwife
25 JEFFERSON WAY STE 101
KETCHIKAN, AK 99901
Ketchikan Gateway Borough (907) 247-9999
DR. RUSSELL A DEGROOTE M.D.
Orthopaedic Surgery
25 JEFFERSON WAY STE 101
KETCHIKAN, AK 99901
Ketchikan Gateway Borough (907) 247-9999
DR. ANDREW FRANKLIN ZINK DO
Obstetrics & Gynecology
25 JEFFERSON WAY STE 101
KETCHIKAN, AK 99901
Ketchikan Gateway Borough (907) 247-9999

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Russell Degroote MD PC's NPI number?

The NPI number for Russell Degroote MD PC is 1033278155. It was assigned to this organization in the NPPES registry on December 6, 2006.

Where is Russell Degroote MD PC located?

Russell Degroote MD PC is located at 25 Jefferson Way Ste 101, Ketchikan, AK 99901. The listed phone number is (907) 247-9999.

What is Russell Degroote MD PC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Does Russell Degroote MD PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 02D2242422) is associated with this NPI, valid through November 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Russell Degroote MD PC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Russell Degroote MD PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Russell Degroote MD PC was last updated on March 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.