Russell A. Grootegoed is a San Pedro, California based male podiatrist who is specialized in Podiatric Foot & Ankle Surgery. Active license number of Russell A. Grootegoed for Podiatric Foot & Ankle Surgery is E2064 in California. Russell A. Grootegoed provide comprehensive medical and surgical care for a wide spectrum of foot and ankle conditions, including common to complex disorders and injuries that affect people of all ages. He is uniquely qualified to detect the early stages of diseases that exhibit warning signs in the lower extremities, such as diabetes, arthritis and cardiovascular disease, and can manage foot conditions that may pose an ongoing threat to a patient’s overall health.
Complete Profile:
Russell A. Grootegoed speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Podiatrist - Foot & Ankle Surgery
Credentials:
DPM
Gender:
Male
Practice Address:
601 W 9th St, San Pedro, California, 90731-3107
Phone:
310-833-3583
Fax:
310-833-1976
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1194767921
NPI Enumeration Date:
13 Jun, 2006
NPI Last Update On:
11 Apr, 2008
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Russell A. Grootegoed are as mentioned below.
License Number
Specialization
State
Status
E2064
Podiatric Foot & Ankle Surgery
California
Primary
E2064
Prosthetic/Orthotic Supplier
California
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Russell A. Grootegoed such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
953239247
Other
California
BLUE CROSS
000E2064000
Medicaid
California
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
601 W 9th St, San Pedro, California
Zip:
90731-3107
Phone Number:
310-833-3583
Fax Number:
310-833-1976
Patients can reach Russell A. Grootegoed at 601 W 9th St, San Pedro, California or can call to book an appointment on 310-833-3583. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.
Comments/ Reviews:
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