Robert Hall Ardinger Jr., M.D.

Primary specialty

Pediatric Cardiology PhysicianTaxonomy code 2080P0202X

License

60636002 Issued in WA

Practice address

12404 Kallgren Rd NE
Bainbridge Island, WA 98110-3328

Phone

(913) 626-0662

NPI assigned

Apr 26, 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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515196800000",
    "number": "1720045677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12404 KALLGREN RD NE",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981103328",
            "telephone_number": "913-626-0662",
            "fax_number": "913-626-0662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12404 KALLGREN RD NE",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981103328",
            "telephone_number": "913-626-0662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARDINGER",
        "first_name": "ROBERT",
        "middle_name": "HALL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2018-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "WA",
            "license": "60636002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207987918",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100120930B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janice Kaye Alt, LPT
• Bethany Anderson, MS, LMFT
• Susan Elizabeth Anderson, LMHC
• Andrew J. Tellington DMD, P.C.
• Angela Spooner Hanson DPT PLLC
• Arrow Mental Health, Inc
• Lena Mari Arvidson, DDS, MS
• Deborah Marie Atchison, PHARMACY TECHNICIAN
• Jessica Lynn Aubin, CCC-SLP
• Amy Augustine Grappone, LSWAIC

• Pediatric Cardiology Physician in Bainbridge Island, WA
• Providers in Bainbridge Island, WA by specialty
• Pediatric Cardiology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.