Individual provider Active NPI

Eric O Rasmussen, MD

  • Dermatology Physician
  • Silverdale, WA
National Provider Identifier
1467423376
Registry record updated Apr 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD00019650 Issued in WA
Practice address
3505 NW Anderson Hill Rd
#201
Silverdale, WA 98383-9161
Phone
(360) 698-6859
Fax
(360) 337-7403
NPI assigned
Jan 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD00019650 WA Primary

Addresses

Primary practice location

3505 NW Anderson Hill Rd
#201
Silverdale, WA 98383-9161

Mailing address

3505 NW Anderson Hill Rd
#201
Silverdale, WA 98383-9161
Phone (360) 698-6859

Other identifiers 1

IdentifierTypeStateIssuer
1106061MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address erasmussen@directaddress.net Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100708000267 WA Practitioner - Dermatology 1153211453 Receives reassigned benefits from 13 practitioners
Practice locations: Gig Harbor, WA; Silverdale, WA; Tacoma, WA

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of California, Davis School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3505 NW Anderson Hill Rd
Suite 201
Silverdale, WA 98383-9161
Phone (360) 698-6859

4700 Point Fosdick Dr NW
Suite 219
Gig Harbor, WA 98335-1706
Phone 2538517733106

Merit-based Incentive Payment System (MIPS)

Final score
84.78 of 100Reported as group
Quality
79.58
Improvement activities
40
Cost
76.5

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision41
Removal of skin lesions1910
Removal of skin cancer99
Removal or shaving of skin growth1-10
Skin biopsy366

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD00019650WAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peninsula Dermatology & Laser Clinic PLLC Dermatology PastSince Aug 15, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: erasmussen@directaddress.net

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588204800000",
    "number": "1467423376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 NW ANDERSON HILL RD",
            "address_2": "#201",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983839161",
            "telephone_number": "360-698-6859",
            "fax_number": "360-337-7403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 NW ANDERSON HILL RD",
            "address_2": "#201",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983839161",
            "telephone_number": "360-698-6859",
            "fax_number": "360-337-7403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASMUSSEN",
        "first_name": "ERIC",
        "middle_name": "O",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2020-04-30",
        "certification_date": "2020-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WA",
            "license": "MD00019650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1106061",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "erasmussen@directaddress.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "erasmussen@directaddress.net",
            "address_1": "3505 NW Anderson Hill Rd",
            "address_2": "#201",
            "city": "Silverdale",
            "state": "WA",
            "country_code": "US",
            "postal_code": "983839161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Silverdale, WA

Sources for this page

Verify at the official NPI Registry.