Oliver Stalsbroten, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD00018028 Issued in WA

Practice address

2511 M Ave
Anacortes, WA 98221-3897

Phone

(360) 299-4211

NPI assigned

Aug 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Public Hospital District No 2 Skagit County Washington

  dba Lopez Island Medical Clinic

  • Rural Health Clinic/Center
  • Lopez, WA
  • NPI 1740203967
  Medicare reassignment NPD
• Public Hospital District No 2 Skagit County Washington

  • Rural Health Clinic/Center
  • Eastsound, WA
  • NPI 1245827781
  NPD
• Public Hospital District No 2 Skagit County Washington

  dba Anacortes Family Medicine

  • Rural Health Clinic/Center
  • Anacortes, WA
  • NPI 1649284266
  NPD

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417062902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 24TH ST",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982212557",
            "telephone_number": "360-299-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2511 M AVE",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982213897",
            "telephone_number": "360-299-4211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STALSBROTEN",
        "first_name": "OLIVER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00018028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sound Dentistry
• Sound Health Chiropractic, LLC
• Soundview Rehabilitation and Health Care, Inc. (Rosario Assisted Living)
• Soundview Rehabilitation and Health Care, Inc. (Shuksan Rehabilitation and Health Care)
• Annelise Spragg, ED.S.
• Stanny Stuart Speech Language Services
• Cody Staub, RN
• Christopher Todd Steckler, L.AC.
• Zoelle Amanda Stefens, CCC-SLP
• Tricia Storey, SLP

• Family Medicine Physician in Anacortes, WA
• Providers in Anacortes, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.