Individual provider Active NPI

Jason Allen Rodgers, PA-C

  • Physician Assistant
  • Tacoma, WA
National Provider Identifier
1568600492
Registry record updated Sep 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PAPA60207408 Issued in WA
Practice address
2202 S Cedar St
Ste 330
Tacoma, WA 98405-2318
Phone
(253) 272-5127
Fax
(253) 272-0811
NPI assigned
Jan 30, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA1124 NV
Physician Assistant 363A00000X PAPA60207408 WA Primary
Medical Physician Assistant 363AM0700X PA60207408 WA
Surgical Physician Assistant 363AS0400X PA60207408 WA

Addresses

Primary practice location

2202 S Cedar St
Ste 330
Tacoma, WA 98405-2318

Mailing address

2420 S Union Ave
Ste 200
Tacoma, WA 98405-1322
Phone (253) 503-2598

Other identifiers 2

IdentifierTypeStateIssuer
BN227ZOtherNVMEDICARE PTAN
1568600492MedicaidNV

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110609000489 WA Practitioner - Physician Assistant 6507913852 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Washington Gastroenterology PLLCGroup PAC ID 6204194848, 142 clinicians

Practice addresses (Care Compare)

1703 S Meridian
Puyallup, WA 98371-7590
Phone (253) 841-3933

17700 SE 272ND St
Suite 420
Kent, WA 98042-4951
Phone (253) 639-9660

1901 S Union Ave
Tacoma, WA 98405-1702
Phone (253) 459-6633

2202 S Cedar St
Suite 330
Tacoma, WA 98405-2318
Phone (253) 272-5127

2727 Hollycroft St
Suite 380
Gig Harbor, WA 98335-1346
Phone (253) 858-0112

33915 1St Way S
Federal Way, WA 98003-6396
Phone (253) 838-9839

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PAPA60207408WAMDPhysician Assistant
PA60207408WAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Gastroenterology PLLC Physician Assistant CurrentSince Dec 15, 2017 Accepting new patients

Locations

33915 1st Way S
Ste 200
Federal Way, WA 98003
Phone (253) 838-9839

2727 Hollycroft St
Ste 380
Gig Harbor, WA 98335
Phone (253) 858-0112

17700 SE 272nd St
Ste 420
Kent, WA 98042
Phone (253) 639-9660

17700 SE 272nd St
#420
Kent, WA 98042
Phone (253) 639-9660

1703 S Meridian
Ste 203
Puyallup, WA 98371
Phone (253) 841-3933

1703 S Meridian
Ste 305
Puyallup, WA 98371
Phone (253) 841-3933

2202 S Cedar St
Ste 330
Tacoma, WA 98405
Phone (253) 503-2547

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1233273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474848000000",
    "number": "1568600492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 S UNION AVE",
            "address_2": "STE 200",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051322",
            "telephone_number": "253-503-2598",
            "fax_number": "253-404-0506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 S CEDAR ST",
            "address_2": "STE 330",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984052318",
            "telephone_number": "253-272-5127",
            "fax_number": "253-272-0811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODGERS",
        "first_name": "JASON",
        "middle_name": "ALLEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-30",
        "last_updated": "2016-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA1124",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PAPA60207408",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA60207408",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "WA",
            "license": "PA60207408",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "BN227Z",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1568600492",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.