DR. ROGER CARL ANDERSEN (NPI# 1821319484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821319484 |
| Entity Type | Individual |
| Full Name | DR. ROGER CARL ANDERSEN |
| Credential | MD |
| Practice Address |
13619 Mukilteo Speedway Ste D-543 Lynnwood WA 98087-1626 |
| Practice Telephone | 4252469824 |
| Practice Fax Number | 2507227160 |
| Mailing Telephone | 4252469824 |
| Mailing Fax Number | 2507227160 |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2010-06-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 00020615 | WA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821167313 | Roger S. Andersen | Neuromusculoskeletal Medicine & OMM | 1923 N Trekell Rd, Casa Grande, AZ 85222-1706 | 2006-11-07 |
| Street Address |
13619 MUKILTEO SPEEDWAY STE D-543 |
| City | LYNNWOOD |
| State | WA |
| Zip Code | 98087-1626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649205022 | Thien N Truong | Pharmacist | 13619 Mukilteo Speedway, Lynnwood, WA 98087-1626 | 2006-07-12 |
| 1073796348 | Dorothy Mae Weiss | Pharmacy Technician | 13619 Mukilteo Speedway, C, Lynnwood, WA 98087-1626 | 2007-12-10 |
| 1124172218 | David A Pacey | Dentist | 13619 Mukilteo Speedway, Suite D-11, Lynnwood, WA 98087-1626 | 2007-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568022341 | Romina Kim | Behavioral Analyst | 14228 26th Ave W, Unit A, Lynnwood, WA 98087 | 2019-06-14 |
| 1710542048 | Dwight Hendricks | Massage Therapist | 2902 164th Street Sw, Suite D1, Lynnwood, WA 98087 | 2019-05-02 |
| 1134603822 | Pamela C Brown-seely | Counselor | 15914 44th Ave W, M-208, Lynnwood, WA 98087 | 2018-09-19 |
| 1699213678 | Kyra Ripley | Counselor | 13821 Beverly Park Rd, Lynnwood, WA 98087 | 2017-02-09 |
| 1144634411 | Gloria Orias | Contractor | 14421 Ash Way, Lynnwood, WA 98087 | 2014-06-16 |
| 1134548316 | Nguyen & Nguyen Dds, Pllc | Clinic/Center | 15620 Highway 99, Suite 4, Lynnwood, WA 98087 | 2014-04-15 |
| 1659526341 | Hee-jin Yang | Dentist | 1418 164th St Sw Ste 100, Lynnwood, WA 98087 | 2008-11-21 |
| 1972795342 | Linda Marie Bowen | Counselor | 1120 164th St Sw, Lynnwood, WA 98087 | 2007-08-09 |
| 1649475799 | Martha Lake Dental Center | Dentist | 1233 164th St Sw, Ste #h, Lynnwood, WA 98087 | 2007-06-19 |
| 1154532042 | Atlas Chiropractic Clinic, LLC | Chiropractor | 14608 Hwy 99 Suite309, Lynnwood, WA 98087 | 2007-05-24 |
| Find all providers in zip 98087 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831659275 | Mary L Chandler | Obstetrics & Gynecology | 6510 151st Pl Se, Bellevue, WA 98006-5026 | 2019-03-21 |
| 1649754441 | Steven R Maynard, Md, Pllc | Obstetrics & Gynecology | 1802 S Yakima Ave Ste 300, Tacoma, WA 98405-5305 | 2018-09-18 |
| 1275982720 | Ralph Nicholas Burns | Obstetrics & Gynecology | 1959 Ne Pacific St Box 356460, Seattle, WA 98195-3233 | 2016-06-06 |
| 1487017299 | Semonti K. Hossain | Obstetrics & Gynecology | 12333 Ne 130th Ln Ste Tan 110, Kirkland, WA 98034-7467 | 2016-03-30 |
| 1538554357 | Hayley Jane Mackinnon | Obstetrics & Gynecology | 1959 Ne Pacific St. Box 356460, University of Washington Department of Obgyn, Seattle, WA 98109 | 2015-03-30 |
| 1033523675 | Tariro Mupombwa | Obstetrics & Gynecology | Virginia Mason Medical Center, 1100 9th Avenue, X8-gyn, Seattle, WA 98104 | 2014-06-11 |
| 1821417973 | Anne Wheeler | Obstetrics & Gynecology | 1 E Main St Ste 360, Auburn, WA 98002-4905 | 2014-04-15 |
| 1710306436 | Prime Health Clinic Pllc | Obstetrics & Gynecology | 1420 3rd St Se Ste 106, Puyallup, WA 98372-3730 | 2014-04-09 |
| 1184047441 | Sea Mar Community Health Center | Obstetrics & Gynecology | 14508 Ne 20th Ave Ste 300, Vancouver, WA 98686-6418 | 2014-01-22 |
| 1902246259 | Horse Heaven Hills Obstetrics and Gynecology Pllc | Obstetrics & Gynecology | 4309 W 27th Pl Ste 302, Kennewick, WA 99338-2909 | 2013-07-01 |
| Find all providers with the same taxonomy | ||||
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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.