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THEODORE EUGENE JOHNSRUDE M.D.
NPI 1265484299
Urology in Silverdale, WA

Active since May 17, 2006
9398 RIDGETOP BLVD NW, SILVERDALE, WA 98383(360) 782-3200(360) 782-3245 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Theodore Eugene Johnsrude M.d. NPPES

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

THEODORE EUGENE JOHNSRUDE M.D. (NPI 1265484299) is an individual urology provider in Silverdale, Washington, licensed in Washington (MD00019724) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1265484299
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameTHEODORE EUGENE JOHNSRUDECredential: M.D.
Location Address9398 RIDGETOP BLVD NWSilverdale, WA 98383-8505
Mailing Address2512 Wheaton WayBremerton, WA 98310-3399
Phone(360) 782-3200
Fax(360) 782-3245
Sole ProprietorNo
Enumeration DateMay 17, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1265484299 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in WA · MD00019724
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
9398 RIDGETOP BLVD NW, Silverdale, WA 98383
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Other Identifiers 4

Other75433WA · Labor & Industries
Medicaid8316200WA
Other5358025Aetna
OtherJO4187Regence Blue Shield

Other Providers at the Same Location NPPES 15

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

COURTNEY A. SHICK PA-C
Physician Assistant (Medical)
9398 RIDGETOP BLVD NW
SILVERDALE, WA 98383
Kitsap County (360) 782-3200
BLAKE PETER KRUGER MD, MPH
Family Medicine
9398 RIDGETOP BLVD NW
SILVERDALE, WA 98383
Kitsap County (360) 782-3200
DR. JASON MICHAEL DURBIN D.O.
Urology
9398 RIDGETOP BLVD NW
SILVERDALE, WA 98383
Kitsap County (360) 782-3222
INGELA PEZZOLESI M.D.
Family Medicine
9398 RIDGETOP BLVD NW
SILVERDALE, WA 98383
Kitsap County (360) 782-3200
DR. MARC A MITCHELL DO
Urology
9398 RIDGETOP BLVD NW
SILVERDALE, WA 98383
Kitsap County (360) 782-3222
AMY LI MD
Urology
9398 RIDGETOP BLVD NW
SILVERDALE, WA 98383
Kitsap County (360) 782-3200
DR. DAVID S CHANG DO
Family Medicine
9398 RIDGETOP BLVD NW
SILVERDALE, WA 98383
Kitsap County (360) 782-3200
THE DOCTORS CLINIC A PROFESSIONAL CORPORATION
Clinic/Center (Multi-Specialty)
9398 RIDGETOP BLVD NW
SILVERDALE, WA 98383
Kitsap County (360) 782-3200

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 Theodore Johnsrude's NPI number?

The NPI number for Theodore Johnsrude is 1265484299. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Where is Theodore Johnsrude located?

Theodore Johnsrude practices at 9398 Ridgetop Blvd NW, Silverdale, WA 98383. The listed phone number is (360) 782-3200.

What is Theodore Johnsrude's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

When was this NPI record last updated?

The NPPES record for Theodore Johnsrude was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.