DR. ROXANNE E HERTZOG (NPI# 1073503181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073503181 |
| Entity Type | Individual |
| Full Name | DR. ROXANNE E HERTZOG |
| Credential | M.D. |
| Practice Address |
1100 Pacific Ave Suite 100 Everett WA 98201-4261 |
| Mailing Address |
Po Box 5908 Bellevue WA 98006-0408 |
| Practice Telephone | 2062441212 |
| Practice Fax Number | 2062441223 |
| Mailing Telephone | 2062441212 |
| Mailing Fax Number | 2062441223 |
| Enumeration Date | 2005-10-28 |
| Last Update Date | 2008-06-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | MD00032736 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | CRIME VICTIMS PROGRAM | 8938073 | 01 |
| WA | REGENCE BLUE SHIELD | 4682HE | 01 |
| WA | DEPT OF LABOR & INDUSTRIE | 0184996 | 01 |
| WA | 8017535 | 05 |
| Street Address |
1100 PACIFIC AVE SUITE 100 |
| City | EVERETT |
| State | WA |
| Zip Code | 98201-4261 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659751949 | Melissa Ann Morris | Registered Nurse | 1100 Pacific Ave, Suite 300, Everett, WA 98201-4261 | 2015-06-02 |
| 1073847240 | Mono Nhean | Occupational Therapist | 1100 Pacific Ave, Suite 201, Everett, WA 98201-4261 | 2009-09-21 |
| 1083871305 | Douglas D Nowak | Orthopaedic Surgery | 1100 Pacific Ave, Suite 300, Everett, WA 98201-4261 | 2008-05-22 |
| 1003082017 | John D Pryor | Orthopaedic Surgery | 1100 Pacific Ave, Suite 300, Everett, WA 98201-4261 | 2008-04-30 |
| 1245412535 | Mark Western Mashita | Physician Assistant | 1100 Pacific Ave, Suite 300, Everett, WA 98201-4261 | 2007-11-29 |
| 1801001805 | Alex H Kang | Dentist | 1100 Pacific Ave, Suite 200, Everett, WA 98201-4261 | 2007-05-12 |
| 1043433352 | Penny Goudelock | Physician Assistant | 1100 Pacific Ave, Suite 202, Everett, WA 98201-4261 | 2007-04-11 |
| 1922132646 | Christine L Hayes | Registered Nurse | 1100 Pacific Ave, Suite 300, Everett, WA 98201-4261 | 2007-03-15 |
| 1003945643 | Richard L Semon | Orthopaedic Surgery | 1100 Pacific Ave, Suite 300, Everett, WA 98201-4261 | 2007-03-02 |
| 1659458149 | Outpatient Anesthesia Services, Pllc | Anesthesiology | 1100 Pacific Ave, Suite 100, Everett, WA 98201-4261 | 2006-11-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306471867 | Shannon Michelle Dewald | Registered Nurse | D8s 1700 13th St, Everett, WA 98201 | 2020-03-05 |
| 1578123113 | Precious Medicial Spa, LLC | Registered Nurse | 1728 W. Marine View Dr Suite 212, Everett, WA 98201 | 2019-06-17 |
| 1508429796 | Alix Deschain | Counselor | 2801 Broadway, Everett, WA 98201 | 2019-04-15 |
| 1811457534 | Khushboo Patel | Pharmacist | 1330 Rockefeller Ave Ste 150, Everett, WA 98201 | 2019-03-20 |
| 1164991188 | Grace Talbot Davis | Registered Nurse | 2601 Summit Avenue, Bldg. C, Everett, WA 98201 | 2018-11-20 |
| 1063924603 | Tracy Sisk | Counselor | 3120 Colby Ave, 502, Everett, WA 98201 | 2017-11-03 |
| 1710403126 | Michelle Durham | Counselor | 3322 Boadway Fl 2, Everett, WA 98201 | 2017-08-17 |
| 1861927949 | Melanie Schmidt | Counselor | 2610 Westmore Ave, Everett, WA 98201 | 2017-04-26 |
| 1518413327 | Joseph Madson Dmd Pllc | Clinic/Center | 3802 Colby Ave, 4th Floor, Everett, WA 98201 | 2016-08-31 |
| 1043683162 | Jennifer Adams | Counselor | 1511 26th St, Everett, WA 98201 | 2015-11-11 |
| Find all providers in zip 98201 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134357361 | Colin Seale Smith | Anesthesiology | 1700 13th Street Everett, Wa 98201, Everett, WA 98201 | 2009-06-25 |
| 1639388234 | Milan Julian Stefanec | Anesthesiology | 8119 S Lake Stevens Rd, Everett, WA 98205-2825 | 2007-05-21 |
| 1558444687 | Bridget Springgate Bush | Anesthesiology | 1700 13th St, Everett, WA 98201-1689 | 2006-10-23 |
| 1255442265 | Thomas John Subitch | Anesthesiology | 2521 Taylor Dr, Everett, WA 98203-1446 | 2006-08-31 |
| 1760458905 | Michael J Bart | Anesthesiology | 3726 Broadway Ste 206, Everett, WA 98201-3788 | 2006-02-27 |
| 1134112477 | Nicholas A Canuso Jr. | Anesthesiology | 10455 Lincoln Hwy, Everett, PA 15537-7046 | 2005-08-23 |
| 1710429063 | Gateway Anesthesia Services, Pllc | Anesthesiology | 3726 Broadway, Everett, WA 98201-3787 | 2016-11-16 |
| 1962812479 | Crystal Marie Woodward | Anesthesiology | 1700 13th St, Everett, WA 98201 | 2014-05-06 |
| 1083972186 | Eric Breeden | Anesthesiology | 1321 Colby Ave, Providence Washington Anesthesia Services, Everett, WA 98201-1665 | 2012-04-26 |
| 1508152927 | Veena Arani | Anesthesiology | 1321 Colby Ave, Everett, WA 98201-1665 | 2011-06-23 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.