Provider Type Icon

CLINTON ANDERSON MD NPI 1134106867


NPI Information

NPI: 1134106867
Provider Name: CLINTON ANDERSON, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Organization: PROVIDENCE HEALTH AND SERVICES - WA

PECOS Registration: Yes

Address:
12800 BOTHELL EVERETT HWY
EVERETT, WA
ZIP 98208
Phone: (425) 316-5150
Get Directions

Clinton Anderson, MD is a family medicine in Everett, WA with 27 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Clinton Anderson, MD NPI is 1134106867. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

12800 BOTHELL EVERETT HWY
EVERETT, WA
ZIP 98208-642
Phone: (425) 316-5150
Fax: (425) 225-1006

The NPI 1134106867 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Automated urinalysis test (HCPCS:81003)

The enumeration date for this NPI number is 12/23/2005 and was last updated on 2/5/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207P00000XEmergency Medicine41558MINNESOTANo
2207Q00000XFamily MedicineMD60037715WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13526343MEDICAIDIOWA
28523219MEDICAIDWASHINGTON
3127521MEDICAIDMINNESOTA
4G8879303MEDICARE PINWASHINGTON
5390405933MEDICAIDMINNESOTA
6062M8ANOTHERMINNESOTABLUE CROSS
7H18645MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.