DR. SHAWN E ROGERS (NPI# 1104923119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104923119 |
| Entity Type | Individual |
| Full Name | DR. SHAWN E ROGERS |
| Credential | M.D. |
| Practice Address |
21616 76th Ave W Suite 112 Edmonds WA 98026-7512 |
| Mailing Address |
805 Madison St Suite 901 Seattle WA 98104-1172 |
| Practice Telephone | 4257756651 |
| Practice Fax Number | 4256706718 |
| Mailing Telephone | 2062648100 |
| Mailing Fax Number | 2062648689 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2011-10-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | MD00038124 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8254617 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851898688 | Shawn Rogers | In Home Supportive Care | 5325 E Tropicana Ave Apt 1094, Las Vegas, NV 89122-6769 | 2018-04-09 |
| Street Address |
21616 76TH AVE W SUITE 112 |
| City | EDMONDS |
| State | WA |
| Zip Code | 98026-7512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336123827 | Hyun Joong Hong | Internal Medicine | 21616 76th Ave W, Ste 102, Edmonds, WA 98026-7512 | 2005-11-30 |
| 1699162875 | Ronald N. Waltz, M.d., Pllc | Family Medicine | 21616 76th Ave W, Suite 109, Edmonds, WA 98026-7512 | 2015-04-24 |
| 1366842536 | Veronique Rozon-gauthier | Audiologist | 21616 76th Ave W, Suite 112, Edmonds, WA 98026-7512 | 2014-08-25 |
| 1639500523 | Eileen Anderson | Audiologist | 21616 76th Ave W, Suite 112, Edmonds, WA 98026-7512 | 2013-12-03 |
| 1124385497 | Rose Ann Rhodes | Social Worker | 21616 76th Ave W, Suite 102, Edmonds, WA 98026-7512 | 2012-04-11 |
| 1952688103 | Dan Zhou | Massage Therapist | 21616 76th Ave W, Ste 102, Edmonds, WA 98026-7512 | 2011-11-15 |
| 1285928291 | Avena Vascular, Inc.,p.c. | Phlebology | 21616 76th Ave W, Suite 200, Edmonds, WA 98026-7512 | 2011-06-07 |
| 1912298290 | The Washington Center for Pain Management Sleep Lab | Clinical Medical Laboratory | 21616 76th Ave W, Suite 102, Edmonds, WA 98026-7512 | 2011-04-21 |
| 1497984850 | Howard John Quint | Anesthesiology | 21616 76th Ave W, Suite 209, Edmonds, WA 98026-7512 | 2009-07-07 |
| 1790942886 | Praveen Kumar Mambalam | Anesthesiology | 21616 76th Ave W, Ste 102, Edmonds, WA 98026-7512 | 2008-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833526 | Enas Hamid Albar | Student in an Organized Health Care Education/Training Program | 7500 212th Street S.w., Suite 205, Edmonds, WA 98026 | 2020-08-26 |
| 1215579453 | Kailey Anne Matulich | Technician | 21630 84th Ave W, Edmonds, WA 98026 | 2019-10-09 |
| 1154962124 | Steven M Weible | Technician | 21630 84th Ave, Edmonds, WA 98026 | 2019-10-01 |
| 1053767293 | Hyo Kyung Kim | Pharmacist | 22618 Hwy 99 Ste 109, Edmonds, WA 98026 | 2016-05-06 |
| 1679947956 | Lucilyn Lumio | Occupational Therapist | 21008 76th Avenue W, Edmonds, WA 98026 | 2015-11-24 |
| 1669844205 | Kathleen Schmitt | Pharmacist | 21601 76th Ave West, Edmonds, WA 98026 | 2015-10-22 |
| 1689087967 | Ronald Paul Meagher | Anesthesiology | 7305 173rd St Sw, Edmonds, WA 98026 | 2014-06-04 |
| 1598194342 | Allison Alberton | Surgery | 7315 212th St Sw Ste 201, Edmonds, WA 98026 | 2013-11-02 |
| 1356681019 | Tekle Zewolday Eysadik | Registered Nurse | 8102 - 226 St Sw, Edmonds, WA 98026 | 2013-02-18 |
| 1447557087 | Diane Taylor | Counselor | 20903 70th Ave W., Edmonds, WA 98026 | 2011-02-17 |
| Find all providers in zip 98026 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265614358 | James A. Furstoss | Otolaryngology | 7015 150th Pl Sw, Edmonds, WA 98026-4020 | 2007-11-29 |
| 1669589974 | Douglas D Backous | Otolaryngology | 21616 76th Ave W Ste 112, Edmonds, WA 98026-7512 | 2006-08-23 |
| 1316327992 | Jeffrey M Singh | Otolaryngology | 21911 76th Ave W Ste 211, Edmonds, WA 98026-7918 | 2015-06-09 |
| 1033539721 | Matthew Bartindale | Otolaryngology | 21911 76th Ave W Ste 211, Edmonds, WA 98026 | 2014-04-21 |
| 1720121361 | Tyler Graham Kimbrough | Otolaryngology | 21616 76th Ave W, Suite 112, Edmonds, WA 98026-7512 | 2007-02-14 |
| 1023102118 | Henry S Chang | Otolaryngology | 21616 76th Ave W, Suite 112, Edmonds, WA 98026-7512 | 2006-10-03 |
| 1144314337 | John T Parker | Otolaryngology | 21616 76th Ave W, Suite 112, Edmonds, WA 98026-7512 | 2006-10-03 |
| 1558455642 | Puget Sound Otolaryngology Inc Ps | Otolaryngology | 21616 76th Ave W, #112, Edmonds, WA 98026-7512 | 2006-10-03 |
| 1801993829 | Duncan A Riddell | Otolaryngology | 21616 76th Ave W, Suite 112, Edmonds, WA 98026-7512 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093220980 | Sound E.n.t. Consultants, LLC | Otolaryngology | 406 Yauger Way Sw Ste B, Olympia, WA 98502-8151 | 2017-12-13 |
| 1104203793 | Eric Andrew Eisen | Otolaryngology | 8301 161st Ave Ne Ste 102, Redmond, WA 98052-3858 | 2015-05-03 |
| 1598182990 | Annie Kyunga Ahn | Otolaryngology | 4033 Talbot Rd S Ste 540, Renton, WA 98055 | 2014-03-24 |
| 1760810311 | Gerald Guy Randolph | Otolaryngology | 10491 E State Route 106, Union, WA 98592 | 2013-10-17 |
| 1689007320 | Aria Jafari | Otolaryngology | 1959 Ne Pacific St # 356515, Seattle, WA 98195-3729 | 2013-08-16 |
| 1326306317 | Priyanka Shah O'brien | Otolaryngology | 1801 1st Ave Ste 3a, Longview, WA 98632-3271 | 2012-04-26 |
| 1033486402 | Richard J. Cavell | Otolaryngology | 1013 Marshall Dr, Camano Island, WA 98282-8787 | 2011-11-29 |
| 1457628497 | Robin Lee Downey | Otolaryngology | 4020 Aurora Ave N Apt 410, Seattle, WA 98103-7882 | 2011-11-18 |
| 1588955785 | Nicholas C Vanburen | Otolaryngology | 1424 N Mcdonald Rd Ste 101, Spokane Valley, WA 99216-6017 | 2011-04-22 |
| 1881925956 | Steve Lars Risa | Otolaryngology | 4538 177th Ave Se, Bellevue, WA 98006-6519 | 2010-01-28 |
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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.