Anchor Medical Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD00019337 Issued in WA

Legal business name

ANCHOR MEDICAL CLINIC

Practice address

8227 44TH Ave West
Suite E
Mukilteo, WA 98275

Phone

(425) 347-1666

Fax

(425) 355-5551

NPI assigned

Jul 1, 2006

Organization subpart

No

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

Authorized official

Name

Heidi S Rendall, MDNPI 1497900609

Title

President

Phone

(425) 347-1666

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Heidi S. Rendall, MD

  • Family Medicine Physician
  • Mukilteo, WA
  • NPI 1497900609
  NPD (past) Authorized official
• Chelsea Allin, PA-C

  • Physician Assistant
  • Seattle, WA
  • NPI 1154422301
  NPD (past)

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922037092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 959",
            "address_2": "8227 44TH AVE WEST SUITE E",
            "city": "MUKILTEO",
            "state": "WA",
            "postal_code": "982750959",
            "telephone_number": "425-347-1666",
            "fax_number": "425-355-5551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8227 44TH AVE WEST",
            "address_2": "SUITE E",
            "city": "MUKILTEO",
            "state": "WA",
            "postal_code": "98275",
            "telephone_number": "425-347-1666",
            "fax_number": "425-355-5551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANCHOR MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RENDALL",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-347-1666",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00019337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "MD00019337",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Camillia Lily Adelstein
• Michelle Galang Akigami, PHARM.D,
• Monte James Alton, D.C.
• Lawrence Rodney Amburgy, L.M.P
• Mark W An, D.D.S.
• Brandon Anderson
• Julia Katherine Anderson, P.T.
• Cris Angel, MS, DA, AEMP, HDD
• Robert Arkills
• Jennifer Lucille Arndt, LMP

• Family Medicine Physician in Mukilteo, WA
• Providers in Mukilteo, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.