John Roger Anderson, D.O.
Individual provider Active NPI Diagnostic Radiology Physician · Coeur D Alene, ID
NPI 1366490773 · NPPES record last updated Aug 4, 2023
Key facts
- NPI
- 1366490773
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- O-0349 (ID)
- Practice address
- 8611 W Eagle Ridge Rd
Coeur D Alene, ID 83814-9565 - Phone
- (208) 664-4455
- Fax
- (208) 664-4159
- NPI assigned
- May 5, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 74
Hospital & facility affiliations 22
Medicare Care Compare profile
- Specialty
- Diagnostic Radiology
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 1972
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Centra Medical Group LLC
Eastern Radiological Associates PC
St Lukes Clinic LLC
Oroville Hospital
Corvallis Radiology PC
Abercrombie Radiological Consultants Inc
Carilion Giles Community Hospital
Columbus Radiology Physicians LLC
Carilion Tazewell Community Hospital
Jason L Hwang MD Inc
Radiology Medical Group of Napa
Winchester Radiologists PC
Tennessee Valley Radiology LLC
Carilion Medical Center
Practice addresses (Care Compare)
Coeur D Alene, ID 83814
Phone (434) 200-5047
8611 W Eagle Ridge Rd
Coeur D Alene, ID 83814-9565
Phone (406) 237-4341
Hospital & facility affiliations
- Carilion Medical Center
- Centra Health - Lynchburg Gen Hospital
- Carilion New River Valley Medical Center
- St Lukes Magic Valley Medical Center
- Adventist Health Sonora
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130319000093 | ID | Practitioner - Diagnostic Radiology | 4284879446 | Reassigns benefits to 26 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0102204169 | VA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Enloe Medical Center | Current |
Accepting new patients | |
| Centra Medical Group, LLC | Current |
Accepting new patients | |
| Carilion Medical Center | Current |
Accepting new patients | |
| Eastern Radiological Associates PC | Diagnostic Radiology | Current |
Accepting new patients |
| CMSC, LLC | Current |
Accepting new patients | |
| Carilion Giles Community Hospital | Current |
Accepting new patients | |
| Benefis Hospitals Inc | Current |
Accepting new patients | |
| Tennessee Valley Radiology LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Carilion Tazewell Community Hospital | Current |
Accepting new patients | |
| Corvallis Radiology PC | Diagnostic Radiology | Current |
Accepting new patients |
| Scott County Community Hospital, Inc. | Current |
Accepting new patients | |
| Enloe Medical Center | Current |
Accepting new patients | |
| Medical Imaging Associates of Idaho Falls, Inc | Diagnostic Radiology | Current |
Accepting new patients |
| Jason L Hwang MD Inc | Diagnostic Radiology | Current |
Accepting new patients |
| Tahoe Carson Radiology Loos Et Al LTD | Diagnostic Radiology | Current |
Accepting new patients |
| Focus Medical Imaging | Diagnostic Radiology | Current |
Accepting new patients |
| Columbus Radiology Physicians LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Carilion Medical Center | Current |
Accepting new patients | |
| Radiology Medical Group of Napa | Diagnostic Radiology | Current |
Accepting new patients |
| Winchester Radiologists PC | Diagnostic Radiology | Current |
Accepting new patients |
| Intercity Radiology, PC | Current |
Accepting new patients | |
| St Luke'S Clinic LLC | Current |
Accepting new patients | |
| Carilion Giles Community Hospital | Current |
Accepting new patients | |
| Abercrombie Radiological Consultants Inc | Diagnostic Radiology | Current |
Accepting new patients |
| Medford Radiological Group, PC | Diagnostic Radiology | Current |
Accepting new patients |
| Carilion Rockbridge Community Hospital | Current |
Accepting new patients | |
| Epic Imaging PC | Diagnostic Radiology | Past |
Accepting new patients |
| Anesthesia Associates Northwest LLC | Past | Accepting new patients | |
| Focus Medical Imaging | Diagnostic Radiology | Past | Accepting new patients |
| Northern Inyo Healthcare District | Past | Accepting new patients | |
| Oregon Anesthesiology Group PC | Past | Accepting new patients |
Locations
150 Pioneer Ln
Bishop, CA 93514
Phone (760) 873-2136
1000 Trancas St
Napa, CA 94558
Phone (707) 226-2901
1839 N Government Way
Ste B
Coeur D Alene, ID 83814
Phone 20844919312
3100 Channing Way
Idaho Falls, ID 83404
Phone (208) 227-2100
746 N College Rd
Ste D
Twin Falls, ID 83301
Phone (208) 814-7230
2400 17th St
Columbus, IN 47201
Phone (812) 373-3025
2900 12th Ave N
Ste 4E
Billings, MT 59101
Phone (406) 245-6378
915 Highland Blvd
Bozeman, MT 59715
Phone (406) 414-1720
1648 Ellis St
Ste 201
Bozeman, MT 59715
Phone (406) 556-4649
1401 25th St S
Great Falls, MT 59405
Phone (406) 455-3650
3010 15th Ave S
Great Falls, MT 59405
Phone (406) 771-3095
1101 26th St S
Great Falls, MT 59405
Phone (406) 455-4690
3600 NW Samaritan Dr
Corvallis, OR 97330
Phone (541) 768-4906
1112 E Weisgarber Rd
Ste 102
Knoxville, TN 37909
Phone (865) 588-1397
18797 Alberta St
Oneida, TN 37841
Phone (423) 286-5300
1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700
160 Exeter Dr
Ste 103
Winchester, VA 22603
Phone (541) 686-1600
160 Exeter Dr
Ste 101
Winchester, VA 22603
Phone (540) 431-3600
1 Healthy Way
Berkeley Springs, WV 25411
Phone (304) 258-1234
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 0102204169 | VA | |
| Diagnostic Radiology Physician | 2085R0202X | O-0349 | ID | Yes |
Addresses
Primary practice location
8611 W Eagle Ridge Rd
Coeur D Alene, ID 83814-9565
Mailing address
8611 W Eagle Ridge Rd
Coeur D Alene, ID 83814-9565
Phone (208) 664-4455
Other providers in Coeur D Alene, ID
- Boram Choi Anderson
- Chad Deloy Anderson
- Duane Ray Anderson
- Erin Anderson
- James N Anderson
- Justin Erik Anderson
- Lindsey Anderson
- Lucas Aaron Anderson
- Sharon L Anderson
- Skyler Lee Anderson
All providers in Coeur D Alene, ID · Diagnostic Radiology Physician in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 4, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.