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Dr. Rolland Edward Dibble , MD

Physician β€’ Port Orchard, WA

Deactivated NPI 1144461971 Deactivated in NPPES Male Practitioner
Practice location in NPPES

103 Rockwell Ave, Suite B-13
Port Orchard, WA 983665204

Phone: 3606206556

Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

This NPI Is Deactivated in NPPES

NPPES lists this NPI as deactivated as of December 26, 2018; the reason is not published. The records below are historical. They do not show whether Dr. Rolland Dibble currently practices or holds a license; check the state medical board for current license status.

NPI Enumeration Date March 06, 2009
NPI Deactivation Date December 26, 2018
NPI Active Period 2009 – 2018

Practice Location & Contact Primary Location

Practice Address

103 Rockwell Ave
Suite B-13

Port Orchard, WA 983665204

Telephone 3606206556

NPI first issued

2009

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Compared with the same specialty in Port Orchard and Washington

Comparisons are not shown because NPPES lists this NPI as deactivated.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

General Acute Care Hospital Primary Specialty

NUCC Taxonomy Code: 282N00000X

License # reported to NPPES WA MD 00024263

An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
⚠️
NPI Profile Deactivated December 26, 2018

NPPES lists this NPI as deactivated as of December 26, 2018; the reason is not published.

βœ…
NPI Profile Active March 06, 2009

NPI status registered as active in NPPES database

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Practice Location (Initial Record) March 06, 2009

Registered at 103 ROCKWELL AVE, SUITE B-13, PORT ORCHARD, WA 983665204 (Tel: 3606206556)

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Business Mailing Address (Initial Record) March 06, 2009

Registered at 103 ROCKWELL AVE, SUITE B-13, PORT ORCHARD, WA 983665204 (Tel: 3606206556)

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Provider Name / Credentials (Initial Record) March 06, 2009

Recorded as ROLLAND DIBBLE, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 06, 2009

General Acute Care Hospital (license number reported to NPPES: WA MD 00024263)

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Initial NPI Registration & Enumeration March 06, 2009

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1144461971
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 06, 2009
Last Update: March 06, 2009
Deactivation Date: December 26, 2018

Mailing Address

103 Rockwell Ave, Suite B-13

Port Orchard, WA 983665204

Phone: 3606206556

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.