# RUSSELL DEGROOTE MD PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033278155
- **Authorized official:** RUSSELL A DEGROOTE (OWNER)
- **Authorized official phone:** (360) 888-3381

## Contact information

- **Practice address:** 25 JEFFERSON WAY STE 101, KETCHIKAN, AK 99901-5953
- **Practice address phone:** (907) 247-9999
- **Mailing address:** PO BOX 1099, WARD COVE, AK 99928-1099
- **Mailing address phone:** (907) 247-9999

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 26594 | NE | Yes |

## Other

- **Enumeration date:** 12/06/2006
- **Last updated:** 03/12/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 51100231 | — | CO |