KRUGER CLINIC ORTHOPAEDICS, PLLC
NPI 1215091368
Specialist in Edmonds, WA

Active since December 21, 2006
21600 HWY 99 STE 150, EDMONDS, WA 98026(425) 774-2636(425) 774-2636 Get Directions Write a Review

NPPES record last updated: December 12, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Specialist

About KRUGER CLINIC ORTHOPAEDICS, PLLC

This page provides the complete NPI Profile along with additional information for Kruger Clinic Orthopaedics, Pllc, a provider established in Edmonds, Washington operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1215091368 assigned on December 2006. The practitioner's primary taxonomy code is 174400000X with license number 601850391 (WA). The provider is registered as an organization and their NPI record was last updated 15 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Thomas J Degan M.d (Medical Doctor)

NPI
1215091368 Verify this NPI
Provider Name
KRUGER CLINIC ORTHOPAEDICS, PLLC
Entity Type
Organization
Location Address
21600 HWY 99 STE 150 EDMONDS, WA 98026
Location Phone
(425) 774-2636
Location Fax
(425) 774-2636
Mailing Address
21600 HWY 99 STE 150 EDMONDS, WA 98026
Mailing Phone
(425) 774-2636
Mailing Fax
(425) 774-2688
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-21-2006
Last Update Date
12-12-2011
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
601850391
License State
WA
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1174400000XOther Service Providers

Specialist

 

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

THOMAS J DEGAN M.D

Authorized Official Title
MEDICAL DOCTOR
Authorized Official Phone
(425) 774-2636

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
GAB02691MEDICARE PIN (08)WA 
AB02691MEDICARE ID-TYPE UNSPECIFIED (04)WAMEDICARE GROUP NUMBER
0520500001MEDICARE NSC (07)WA 

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215091368, enumerated as an "organization" on December 21, 2006.

The provider is located at 21600 HWY 99 STE 150 EDMONDS, WA 98026 and the phone number is (425) 774-2636.

Specialist with taxonomy code 174400000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.