DR. MARY HODGSON ROSE (NPI# 1538352810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538352810 |
| Entity Type | Individual |
| Full Name | DR. MARY HODGSON ROSE |
| Other Name | DR. MARY HODGSON WERTHEIM |
| Credential | MD |
| Practice Address |
5477 Campbell Lake Road Anacortes WA 98221 |
| Practice Telephone | 3602932176 |
| Mailing Telephone | 3602932176 |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2007-08-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD00016307 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | WA1018514 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598283830 | Mary Frances Rose | Counselor | 41641 N Ridge Rd Ste B, Elyria, OH 44035-1264 | 2017-09-07 |
| 1316277148 | Mary Kay Rose | Physical Therapy Assistant | 2025 E. River Parkway, Minneapolis, MN 55414 | 2009-12-29 |
| 1366537029 | Mary Rose | Marriage & Family Therapist | 5210 Main St, Skokie, IL 60077-2158 | 2006-10-04 |
| 1003901497 | Mary Rose | Nurse Practitioner | 186 Providence Street, West Warwick, RI 02893 | 2006-10-03 |
| 1265525927 | Mary W Rose | Psychologist | 400 N Texas Avenue, Suite B, Webster, TX 77598 | 2006-10-02 |
| 1346209152 | Mary Ann Rose | Social Worker | 975 Kingsview Dr Bldg A, Lebanon, OH 45036 | 2006-03-21 |
| 1467010470 | Mary Catherine Rose | Social Worker | 117 W Paterson St, Kalamazoo, MI 49007-2557 | 2019-06-04 |
| 1740848829 | Mary Rose | Case Manager/Care Coordinator | 4320 Diplomacy Dr, Anchorage, AK 99508-5925 | 2019-06-03 |
| 1619438025 | Mary W Rose | Behavior Technician | 475 S John Rodes Blvd, Melbourne, FL 32904-1093 | 2019-03-28 |
| 1881166395 | Mary E Rose | Behavior Technician | 1021 Springboard Dr, Hershey, PA 17033-8820 | 2018-12-21 |
| Street Address |
5477 CAMPBELL LAKE ROAD |
| City | ANACORTES |
| State | WA |
| Zip Code | 98221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760035703 | Amber Upchurch | Behavioral Analyst | 2405 28thst, Anacortes, WA 98221 | 2019-07-18 |
| 1508329475 | Sean Elby Kasperbauer-mccool | Massage Therapist | 1010 6th St., Suite A, Anacortes, WA 98221 | 2019-04-09 |
| 1558843524 | Caitlyn Kimble Crowder | Physical Therapist | 1610 Commercial Ave Ste 1-a, Anacortes, WA 98221 | 2018-09-05 |
| 1740731819 | Stanojka Norma Stuart | Speech-Language Pathologist | 6837 Deer Lane, Anacortes, WA 98221 | 2016-10-24 |
| 1447638853 | Island Behavioral Medicine, Ps | Counselor | 3208 K Ave, Anacortes, WA 98221 | 2015-05-18 |
| 1972903615 | Clarence Hugh Jonson | Specialist | 6818 Gibralter Place, Anacortes, WA 98221 | 2014-08-29 |
| 1073939062 | Puget Sound Kidney Centers | Clinic/Center | 809 31st St, Anacortes, WA 98221 | 2014-03-14 |
| 1104161066 | Nancy J. Schafer | Speech-Language Pathologist | 2200 M Avenue, Anacortes, WA 98221 | 2012-12-04 |
| 1063766053 | Ingrid K. Larson Thieman | Pharmacist | 9080 S March Pt Road B4, Anacortes, WA 98221 | 2012-10-30 |
| 1265793723 | Elga Kinnear | Psychologist | 1019 21st Street, Anacortes, WA 98221 | 2012-05-31 |
| Find all providers in zip 98221 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881954279 | Lindsay Anne Newlon | Family Medicine | 2511 M Ave Ste B, Anacortes, WA 98221 | 2012-05-21 |
| 1467578799 | Jody Ann Cousins | Family Medicine | 1213 24th Street, Suite #100, Anacortes, WA 98221-2559 | 2007-03-21 |
| 1528080678 | Tari L Roche | Family Medicine | 2511 M Ave B, Anacortes, WA 98221-3897 | 2006-07-24 |
| 1649215898 | Karen M Bolton | Family Medicine | 1220 22nd St, Ste A, Anacortes, WA 98221 | 2006-06-19 |
| 1679576979 | Guilford Herschel Traylor | Family Medicine | 8212 S. March Point Road, Anacortes, WA 98221-8684 | 2005-05-31 |
| 1629698964 | The Everett Clinic, Pllc | Family Medicine | 912 32nd St Ste A, Anacortes, WA 98221-3473 | 2020-04-16 |
| 1396171500 | Caroline Joy Roeder | Family Medicine | 1213 24th St, #100, Anacortes, WA 98221 | 2013-09-19 |
| 1225476625 | Stephen M Horras | Family Medicine | 1213 24th St Ste 100, Anacortes, WA 98221-2595 | 2013-06-06 |
| 1780819722 | Susanne Wilhelm | Family Medicine | 1213 24th St, Suite #100, Anacortes, WA 98221-2592 | 2009-05-20 |
| 1518014281 | Family Care Network Pllc | Family Medicine | 2511 M Ave, Ste A, Anacortes, WA 98221-3897 | 2007-01-04 |
| Find all providers in ANACORTES | ||||
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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.