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

Samuel Roth Skovgaard, MD

Individual provider Surgery Physician · NPI 1184088155

Samuel Roth Skovgaard, MD is a General Surgery in Port Angeles, Washington. Qualified in 2016, 10 years ago. Practices with Olympic Medical Physicians, a 103-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
10
Licensed in
WA
In the registry since
2016
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

519 S Peabody St
Port Angeles, WA 98362-6229
Phone: (360) 417-7000
Fax: (360) 565-9241
Show map & directions

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

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence MD61321058 (WA)

Record details

NPI number1184088155
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 6, 2016
Last updated in NPPESOctober 4, 2022
Certification dateSeptember 26, 2022
Mailing address519 S Peabody St, Port Angeles, WA 98362-6229

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Olympic Medical Physicians — 103 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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