John Roger Anderson, D.O.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

O-0349 Issued in 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

Last updated

Aug 4, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

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 LLCGroup PAC ID 4789606088, 709 clinicians

Eastern Radiological Associates PCGroup PAC ID 0345232732, 50 clinicians

St Lukes Clinic LLCGroup PAC ID 1052217478, 313 clinicians

Oroville HospitalGroup PAC ID 1254234339, 93 clinicians

Corvallis Radiology PCGroup PAC ID 2062300676, 54 clinicians

Abercrombie Radiological Consultants IncGroup PAC ID 3072411834, 51 clinicians

Carilion Giles Community HospitalGroup PAC ID 3678670221, 223 clinicians

Columbus Radiology Physicians LLCGroup PAC ID 3971863416, 56 clinicians

Carilion Tazewell Community HospitalGroup PAC ID 4183604259, 76 clinicians

Jason L Hwang MD IncGroup PAC ID 6103171012, 50 clinicians

Radiology Medical Group of NapaGroup PAC ID 7113906397, 41 clinicians

Winchester Radiologists PCGroup PAC ID 7113915281, 77 clinicians

Tennessee Valley Radiology LLCGroup PAC ID 9133105521, 42 clinicians

Carilion Medical CenterGroup PAC ID 9830096585, 956 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Carilion Medical Center Hospital, Roanoke, VA, CCN 490024
• Centra Health - Lynchburg Gen Hospital Hospital, Lynchburg, VA, CCN 490021
• Carilion New River Valley Medical Center Hospital, Christiansburg, VA, CCN 490042
• St Lukes Magic Valley Medical Center Hospital, Twin Falls, ID, CCN 130002
• Adventist Health Sonora Hospital, Sonora, CA, CCN 050335

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• St Luke's Clinic LLC

  dba St Lukes Clinic - Magic Valley/Jerome

  • Family Medicine Physician
  • Twin Falls, ID
  • NPI 1790718229
  Medicare reassignment Care Compare group NPD
• Abercrombie Radiological Consultants Inc

  • Diagnostic Radiology Physician
  • Knoxville, TN
  • NPI 1942207154

  ID

  Medicare reassignment Care Compare group NPD
• Carilion Giles Community Hospital

  • Critical Access Hospital
  • Pearisburg, VA
  • NPI 1194718304

  ID

  Medicare reassignment Care Compare group NPD
• Carilion Medical Center

  • Multi-Specialty Clinic/Center
  • Roanoke, VA
  • NPI 1730123472

  ID

  Medicare reassignment Care Compare group NPD
• Carilion Tazewell Community Hospital

  • General Acute Care Hospital
  • Tazewell, VA
  • NPI 1427040328

  ID

  Medicare reassignment Care Compare group NPD
• Centra Medical Group, LLC

  • Family Medicine Physician
  • Lynchburg, VA
  • NPI 1649228966

  ID

  Medicare reassignment Care Compare group NPD
• Columbus Radiology Physicians LLC

  • Diagnostic Radiology Physician
  • Columbus, IN
  • NPI 1467964718

  ID

  Medicare reassignment Care Compare group NPD
• Corvallis Radiology PC

  • Diagnostic Radiology Physician
  • Corvallis, OR
  • NPI 1881651289

  ID

  Medicare reassignment Care Compare group NPD
• Eastern Radiological Associates PC

  dba Yellowstone Vein Center

  • Diagnostic Ultrasound Physician
  • Billings, MT
  • NPI 1639102171

  Diagnostic Radiology, ID

  Medicare reassignment Care Compare group NPD
• Jason L Hwang MD Inc

  • Diagnostic Radiology Physician
  • Sonora, CA
  • NPI 1811486616

  ID

  Medicare reassignment Care Compare group NPD
• Radiology Medical Group of Napa

  • Diagnostic Radiology Physician
  • Napa, CA
  • NPI 1285666313

  ID

  Medicare reassignment Care Compare group NPD
• Tennessee Valley Radiology LLC

  • Diagnostic Radiology Physician
  • Sweetwater, TN
  • NPI 1356367551

  ID

  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St. Luke's Magic Valley Regional Medical Center, LTD.

  dba St Lukes Magic Valley - Air Ambulance

  • General Acute Care Hospital
  • Twin Falls, ID
  • NPI 1932154705
  Care Compare affiliation
• Carilion Medical Center

  dba Carilion Roanoke Memorial Hospital

  • General Acute Care Hospital
  • Roanoke, VA
  • NPI 1033102942
  Care Compare affiliation
• Carilion New River Valley Medical Center

  • General Acute Care Hospital
  • Christiansburg, VA
  • NPI 1376536573
  Care Compare affiliation
• Centra Health Inc

  • General Acute Care Hospital
  • Lynchburg, VA
  • NPI 1770693939
  Care Compare affiliation
• Centra Health Professional Services, LLC

  dba Centra Health Cardiothoracic Surgery

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Lynchburg, VA
  • NPI 1407884448

  Hospital

  Care Compare affiliation
• Centra Health Professional Services, LLC

  dba The Pain Center

  • Pain Medicine (Anesthesiology) Physician
  • Lynchburg, VA
  • NPI 1811925852

  Hospital

  Care Compare affiliation
• Centra Health Professional Services, LLC

  dba The Wound Care Center

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Lynchburg, VA
  • NPI 1902834948

  Hospital

  Care Compare affiliation
• Centra Medical Group, LLC

  dba CMG Vascular Surgery

  • Vascular Surgery Physician
  • Lynchburg, VA
  • NPI 1144880782

  Hospital

  Care Compare affiliation
• Centra Medical Group, LLC

  dba Centra Medical Group Stroobants Cardiovascular Center

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Lynchburg, VA
  • NPI 1184964124

  Hospital

  Care Compare affiliation
• Centra Medical Group, LLC

  dba Centra Lynchburg Hematology and Oncology

  • Hematology & Oncology Physician
  • Lynchburg, VA
  • NPI 1700293628

  Hospital

  Care Compare affiliation
• Sonora Community Hospital

  dba Sierra Cardiology Department

  • Cardiovascular Disease Physician
  • Sonora, CA
  • NPI 1003807066

  Hospital

  Care Compare affiliation
• Sonora Community Hospital

  dba Greenley Primary Care

  • Family Medicine Physician
  • Sonora, CA
  • NPI 1033100854

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1366490773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8611 W EAGLE RIDGE RD",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838149565",
            "telephone_number": "208-664-4455",
            "fax_number": "208-664-4159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8611 W EAGLE RIDGE RD",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838149565",
            "telephone_number": "208-664-4455",
            "fax_number": "208-664-4159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "JOHN",
        "middle_name": "ROGER",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0102204169",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "ID",
            "license": "O-0349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Boram Choi Anderson
• Chad Deloy Anderson, LMSW, MAC
• Duane Ray Anderson, MD
• Erin Anderson, CASE MANAGER
• James N Anderson, D.C.
• Justin Erik Anderson, MD
• Leonel Christine Anderson
• Lindsey Anderson, PHARM D
• Lucas Aaron Anderson, MD
• Sharon L Anderson, RD

• Diagnostic Radiology Physician in Coeur d'Alene, ID
• Providers in Coeur d'Alene, ID by specialty
• Diagnostic Radiology Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.