John G Carrougher, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

MD00025419 Issued in WA

Practice address

1112 6TH Ave
200
Tacoma, WA 98405-4040

Phone

(253) 272-8664

Fax

(253) 404-1352

NPI assigned

Dec 29, 2005

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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Franciscan Medical Group

  • Neurological Surgery Physician
  • Federal Way, WA
  • NPI 1386857530
  NPD (past)

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208217600000",
    "number": "1760469985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 6TH AVE",
            "address_2": "200",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984054040",
            "telephone_number": "253-272-8664",
            "fax_number": "253-404-1352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 6TH AVE",
            "address_2": "200",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984054040",
            "telephone_number": "253-272-8664",
            "fax_number": "253-404-1352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROUGHER",
        "first_name": "JOHN",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2008-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "WA",
            "license": "MD00025419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "CA3856",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "111878",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8205353",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Carroll
• Katelyn Carroll
• Mia Elizabeth Carroll, RPH
• Steven Randall Carroll II
• Vanessa Vanessa Carroll, M.D.
• C Carsen
• Dannielle Carson
• Stephanie Carston, L.M.P
• Aleksandr Carter
• Amanda Carter, PHARM.D.

• Gastroenterology Physician in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Gastroenterology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; 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.