Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. John Roger Anderson, DO

Individual provider Diagnostic Radiology Physician · NPI 1366490773

Dr. John Roger Anderson, DO is a Diagnostic Radiology in Coeur D Alene, Idaho. Graduated from Des Moines University of Osteopathic Medicine and Health Sciences in 1972, 54 years ago. Practices with Centra Medical Group LLC, a 717-clinician group and accepts Medicare assignment. Licensed in Idaho and Virginia.

Years since qualifying
54
Trained at
Des Moines University of Osteopathic Medicine and Health Sciences
Licensed in
ID, VA
In the registry since
2006
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

8611 W Eagle Ridge Rd
Coeur D Alene, ID 83814-9565
Phone: (208) 664-4455
Fax: (208) 664-4159
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence O-0349 (ID)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 0102204169 (VA)

Record details

NPI number1366490773
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 5, 2006
Last updated in NPPESAugust 4, 2023
Certification dateAugust 4, 2023
Mailing address8611 W Eagle Ridge Rd, Coeur D Alene, ID 83814-9565

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolDES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Graduated 1972 (54 years in practice)
Group practice Centra Medical Group Llc — 717 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations14 on file with Medicare

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