Rodger W Althoff, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

AA8830778 Issued in WA

Practice address

1211 24TH St
Anacortes, WA 98221

Phone

(360) 299-5142

Fax

(360) 299-2043

NPI assigned

May 10, 2006

Last updated

Jan 24, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in WA, OR2 enrollments

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Public Hospital District No 2 Skagit County Washington

  dba Lopez Island Medical Clinic

  • Rural Health Clinic/Center
  • Lopez, WA
  • NPI 1740203967
  Medicare reassignment NPD
• Northwest Medical Foundation of Tillamook

  dba Adventist Health Tillamook

  • Critical Access Hospital
  • Tillamook, OR
  • NPI 1871575225
  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 Island Hospital

  • Rural Acute Care Hospital
  • Anacortes, WA
  • NPI 1316182215
  NPD
• Northwest Medical Foundation of Tillamook

  dba Adventist Health Medical Office - Sheridan

  • Critical Access Hospital
  • Sheridan, OR
  • NPI 1053873919
  NPD
• Northwest Medical Foundation of Tillamook

  dba Adventist Health/Tillamook Medical Group Manzanita Primary & Specialty

  • Rural Health Clinic/Center
  • Manzanita, OR
  • NPI 1154699379
  NPD

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548288000000",
    "number": "1417906991",
    "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": "982212562",
            "telephone_number": "360-299-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 24TH ST",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "98221",
            "telephone_number": "360-299-5142",
            "fax_number": "360-299-2043"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "99 W Sunbury Rd",
            "address_2": "#201",
            "address_purpose": "LOCATION",
            "city": "Butler",
            "state": "PA",
            "postal_code": "16001",
            "country_code": "US",
            "telephone_number": "724-282-0809",
            "fax_number": "724-282-0899",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "99 W Sunbury Rd",
            "address_2": "#201",
            "address_purpose": "LOCATION",
            "city": "Butler",
            "state": "PA",
            "postal_code": "16001",
            "country_code": "US",
            "telephone_number": "724-282-0809",
            "fax_number": "724-282-0899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALTHOFF",
        "first_name": "RODGER",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2019-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD421172",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WA",
            "license": "AA8830778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "1530903",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "548253",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016483700003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shad Syed Ali, MD
• Christopher Paul Allen, M.A.
• Jessica Marie Allen, SUDPT
• Alliance Healthcare Services Inc
• William Aloe
• Deborah Ellen Amos, MD
• Anacortes Birth Center, LLC
• Anacortes Childrens Therapy
• Anacortes Chiropractic Center, Inc.P.S.
• Anacortes Dermatology PC Inc (Anacortes Dermatology)

• Surgery Physician in Anacortes, WA
• Providers in Anacortes, WA by specialty
• Surgery Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; 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.