DR. JARED M ANDERSON (NPI# 1902065733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902065733 |
| Entity Type | Individual |
| Full Name | DR. JARED M ANDERSON |
| Credential | MD |
| Practice Address |
2901 174th St Ne Marysville WA 98271-4743 |
| Mailing Address |
Po Box 5127 Everett WA 98206-5127 |
| Practice Telephone | 3604541900 |
| Mailing Telephone | 4252583900 |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2015-06-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
MD60109594 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | LICENSE | MD60109594 | 01 |
| WA | 2004027 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609367655 | Jared T Anderson | Audiologist | 4570 Pecan Dr Ste A, Paducah, KY 42001-6717 | 2018-05-25 |
| 1538448204 | Jared Anderson | Marriage & Family Therapist | 303 Justin Hall, Kansas State University, Manhattan, KS 66506-1400 | 2011-08-11 |
| 1124281092 | Jared R Anderson | Dentist | 325 A Street, Suite 2, Ashland, OR 97520 | 2008-07-09 |
| 1992321251 | Jared Lee Anderson | Nurse Practitioner | 9525 N Beach St Ste 405, Fort Worth, TX 76244-6438 | 2020-06-23 |
| 1891318796 | Jared Dean Anderson | Pharmacist | 1710 W 2nd St, Grand Island, NE 68803-5409 | 2020-05-26 |
| 1295389120 | Jared Michael Anderson | Residential Treatment Facility, Emotionally Disturbed Children | 3101 Lathrop St, Fairbanks, AK 99701-7426 | 2019-07-29 |
| 1487114997 | Jared D Anderson | Student in an Organized Health Care Education/Training Program | 1601 W 40th Ave Ste 1, Pine Bluff, AR 71603-6319 | 2019-03-21 |
| 1396256061 | Jared Chase Anderson | Social Worker | 1011 S William St, Atlanta, TX 75551-3245 | 2017-10-20 |
| 1295245868 | Jared Kirkman Anderson | Marriage & Family Therapist | 850 Colorado Blvd, Los Angeles, CA 90041-1738 | 2017-10-09 |
| 1912375494 | Jared S. Anderson | Physical Therapist | 2005 W Happy Valley Rd, Suite 170, Phoenix, AZ 85085-2893 | 2015-09-14 |
| Street Address |
2901 174TH ST NE |
| City | MARYSVILLE |
| State | WA |
| Zip Code | 98271-4743 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205832078 | Ray F Smith | Family Medicine | 2901 174th St Ne, Marysville, WA 98271-4743 | 2005-06-24 |
| 1720698996 | Deandra T Elcock | Physical Therapist | 2901 174th St Ne, Marysville, WA 98271-4743 | 2020-08-03 |
| 1437774338 | Jacqueline Wahl | Nurse Practitioner | 2901 174th St Ne, Marysville, WA 98271-4743 | 2020-06-16 |
| 1902432131 | Justine Rodriguez | Physical Therapy Assistant | 2901 174th St Ne, Marysville, WA 98271-4743 | 2020-03-19 |
| 1376021204 | Tzyy-shiuan Young | Audiologist | 2901 174th St Ne, Marysville, WA 98271-4743 | 2018-08-02 |
| 1891238887 | Joli Butler | Physical Therapist | 2901 174th St Ne, Marysville, WA 98271-4743 | 2016-11-23 |
| 1437500659 | Rahul Surana | Internal Medicine | 2901 174th St Ne, Marysville, WA 98271-4743 | 2016-06-29 |
| 1326499575 | Sara Mirani Pournia | Internal Medicine | 2901 174th St Ne, Marysville, WA 98271-4743 | 2016-06-29 |
| 1790143212 | Maren Lee Mansfield | Nurse Practitioner | 2901 174th St Ne, Marysville, WA 98271-4743 | 2016-01-29 |
| 1487019857 | Emily Coraci | Physician Assistant | 2901 174th St Ne, Marysville, WA 98271-4743 | 2015-12-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174155345 | Kaiser Foundation Health Plan of Washington | Pharmacy | 2335 172nd Street Ne, Marysville, WA 98271 | 2020-02-06 |
| 1124511126 | Roger Lucas, P.s. | Dentist | 3806 116th St. Ne, Marysville, WA 98271 | 2018-06-13 |
| 1679020150 | Vest Seattle, LLC | Psychiatric Hospital | 3955 156th St, Marysville, WA 98271 | 2016-09-01 |
| 1790141828 | Washington Dental Corporation, PC | Dentist | 17103 28th Dr. Ne, Suite 104, Marysville, WA 98271 | 2016-01-05 |
| 1376932533 | Mindy Wiese | Counselor | 2321 Marine Dr. Ne, Marysville, WA 98271 | 2015-01-12 |
| 1609276260 | Sara Julsrud | Counselor | 2828 Mission Hill Road, Tulalip, WA 98271 | 2014-09-01 |
| 1710395355 | Sandra Breaux | Pharmacist | 8924 Quil Ceda Blvd, Tulalip, WA 98271 | 2014-07-28 |
| 1245665207 | Delores Helen Dusterhoft | Registered Nurse | 4421 122nd Pl Ne, Marysville, WA 98271 | 2013-09-10 |
| 1295079390 | Santi Wibawantini | Marriage & Family Therapist | 2321 Marine Dr Ne, Tulalip, WA 98271 | 2012-11-15 |
| 1558690586 | Stephen Lee | Pharmacist | 8825 34th Avenue Ne, Suite A, Tulalip, WA 98271 | 2009-12-22 |
| Find all providers in zip 98271 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| 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 Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://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 Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134547615 | Ryan E Hunt | Family Medicine | 140 Coleman's Crossing Blvd, Suite 110, Marysville, OH 43040 | 2014-04-02 |
| 1477998052 | Alan Jacob Boucher | Family Medicine | 140 Colemans Xing, Marysville, OH 43040-7080 | 2013-05-08 |
| 1710099973 | Kennth Douglas Forsythe | Family Medicine | 5730 Packard Ave, Ste 600, Marysville, CA 95901-7118 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326565110 | Family Care Network, Pllc | Family Medicine | 3130 Squalicum Pkwy Ste 110, Bellingham, WA 98225-1940 | 2017-08-23 |
| 1578682100 | Robert Stewart Nicol | Family Medicine | 23512 Ne 206th St, Battle Ground, WA 98604-9699 | 2007-03-28 |
| 1912033663 | Richard Terril Jacobs | Family Medicine | 1351 Fowler St, Richland, WA 99352-4714 | 2007-02-26 |
| 1821132481 | James E Hult | Family Medicine | 800 N 5th Ave # 101, Sequim, WA 98382-3045 | 2007-02-16 |
| 1598874430 | Patrick Z Pearce | Family Medicine | 730 N Hamilton St, Spokane, WA 99202-2045 | 2006-08-30 |
| 1265450514 | Lawrence J Greenblatt X | Family Medicine | 1407 116th Ave Ne Ste 102, Bellevue, WA 98004-3819 | 2006-07-17 |
| 1649211764 | Mark David Wagner | Family Medicine | 1000 Dexter Ave N Ste 320, Seattle, WA 98109-4878 | 2006-06-09 |
| 1528015229 | Public Hospital District #1 of King County | Family Medicine | 3600 Lind Ave Sw, Suite 170, Renton, WA 98055-4934 | 2006-05-28 |
| 1063486074 | Warren Billings Howe | Family Medicine | 516 High St, Wwu Student Health (ms-9132), Bellingham, WA 98225-5946 | 2006-02-15 |
| 1588280804 | Rainier Family and Sports Medicine P C | Family Medicine | 16202 64th St E Ste 104, Sumner, WA 98390-3028 | 2020-06-23 |
| Find all providers with the same taxonomy | ||||
| City | MARYSVILLE |
| Zip Code | 98271 |
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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.