NPIMap

Individual provider Active NPI

Rodney James Anderson, M.D.

  • Family Medicine Physician
  • Bellingham, WA
National Provider Identifier
1841468600
Registry record updated Nov 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD60076561 Issued in WA
Practice address
3500 Orchard PL
Bellingham, WA 98225-1749
Phone
(360) 671-3900
Fax
(360) 647-0882
NPI assigned
Feb 14, 2008
Last updated
Nov 4, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A102179 CA
Family Medicine Physician 207Q00000X MD60076561 WA Primary

Addresses

Primary practice location

3500 Orchard PL
Bellingham, WA 98225-1749

Mailing address

709 W Orchard Dr
Suite #4
Bellingham, WA 98225-1766
Phone (360) 318-8800

Other identifiers 4

IdentifierTypeStateIssuer
1020ANOtherWAREGENCE
2389155OtherWACIGNA
252103OtherWAL&I
G88884361OtherWAMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090921000536 WA Practitioner - Family Practice 4789730524 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Washington School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Care Network, PLLCGroup PAC ID 0446142046, 124 clinicians

Practice addresses (Care Compare)

861 Grant Ave
Blaine, WA 98230-5186
Phone (360) 371-5855

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A102179CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Network PLLC Family Medicine Current Accepting new patients
Family Care Network PLLC Family Medicine CurrentSince Oct 1, 2009 Accepting new patients
Family Care Network PLLC Family Medicine CurrentSince Oct 1, 2009 Accepting new patients
Family Care Network PLLC Family Medicine Past Accepting new patients

Locations

861 Grant Ave
Blaine, WA 98230
Phone (360) 371-5855

1610 Grover St
Ste D1
Lynden, WA 98264
Phone (360) 312-3785

Interoperability endpoints

  • Direct secure messaging: randerson19419@direct.fcn.net

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Family Care Network Lynden Family MedicineLynden, WA, CCN 503902 Rural health clinic Corporate Officer
Operational/Managerial Control		 May 1, 2019
May 1, 2019
Family Care Network Birch Bay Family MedicineBlaine, WA, CCN 503905 Rural health clinic Corporate Officer
Operational/Managerial Control		 May 1, 2019
May 1, 2019
Family Care Network Island Family PhysiciansAnacortes, WA, CCN 503863 Rural health clinic Corporate Officer
Operational/Managerial Control		 May 1, 2019
May 1, 2019

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 44

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.

View all 44

NPI Registry JSON

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

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257292800000",
    "number": "1841468600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 W ORCHARD DR",
            "address_2": "SUITE #4",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251766",
            "telephone_number": "360-318-8800",
            "fax_number": "360-318-1085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 ORCHARD PL",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251749",
            "telephone_number": "360-671-3900",
            "fax_number": "360-647-0882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "RODNEY",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-14",
        "last_updated": "2009-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A102179",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD60076561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "1020AN",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2389155",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "252103",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "G88884361",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.