Catherine M Mizen (NPI# 1760465025, PAC ID# 0941104459) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1760465025 |
| PAC ID by PECOS | 0941104459 |
| Professional Enrollment ID | I20060329000372 |
| Full Name | Catherine M Mizen |
| Organization Legal Name | FAMILY DERMATOLOGY CO |
| Address |
275 Se Cabot Dr Oak Harbor WA 98277-3740 |
| Phone Number | 3606825024 |
| Gender | F |
| Credential | NP |
| Graduation Year | 2000 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1658546437 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 500014 | PROVIDENCE REGIONAL MEDICAL CENTER EVERETT |
| Address | Phone | Organization |
|---|---|---|
| 205 S Main St Bldg B, Coupeville, WA 98239-3635 | 3606825077 | FAMILY DERMATOLOGY CO |
| 275 Se Cabot Dr, Oak Harbor, WA 98277-3740 | 3606825024 | FAMILY DERMATOLOGY CO |
| 275 Se Cabot Dr, A3, Oak Harbor, WA 98277-3740 | 3606825024 | FAMILY DERMATOLOGY CO |
| Organization Legal Name | FAMILY DERMATOLOGY CO |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah C Owen | Nurse Practitioner | Family Dermatology Co | 205 S Main St Bldg B, Coupeville, WA 98239-3635 |
| Charles Anthony Frosolone | Dermatology | Family Dermatology Co | 205 S Main St Bldg B, Coupeville, WA 98239-3635 |
| Wendi Christine Schulze | Nurse Practitioner | Family Dermatology Co | 205 S Main St Bldg B, Coupeville, WA 98239-3635 |
| Reese J Bliek | Physician Assistant | Family Dermatology Co | 205 S Main St Bldg B, Coupeville, WA 98239-3635 |
| Mary Kay Graves | Nurse Practitioner | Family Dermatology Co | 205 S Main St Bldg B, Coupeville, WA 98239-3635 |
| Ronald George Wheeland | Dermatology | Family Dermatology Co | 205 S Main St Bldg B, Coupeville, WA 98239-3635 |
| Street Address |
275 SE CABOT DR |
| City | OAK HARBOR |
| State | WA |
| Zip | 98277-3740 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristine L Young | Physician Assistant | Whidbey Island Public Hospital District | 275 Se Cabot Dr, B101 Whidbeyhealth Primary Care, Oak Harbor, WA 98277-3740 |
| Julia F Marsh | Nurse Practitioner | Whidbey Island Public Hospital District | 275 Se Cabot Dr, B101 Whidbeyhealth Primary Care, Oak Harbor, WA 98277-3740 |
| Nicole Ruth Dipzinski | Clinical Social Worker | 275 Se Cabot Dr, Suite B206, Oak Harbor, WA 98277-3755 | |
| Charlotte M Myers | Clinical Social Worker | 275 Se Cabot Dr, Suite B205, Oak Harbor, WA 98277-3755 | |
| Jennifer S Gruenwald | Nurse Practitioner | Whidbey Island Public Hospital District | 275 Se Cabot Dr, B101 Whidbeyhealth Primary Care, Oak Harbor, WA 98277-3740 |
| Douglas G Langrock | Family Medicine | Whidbey Island Public Hospital District | 275 Se Cabot Dr, B101 Whidbeyhealth Primary Care, Oak Harbor, WA 98277-3740 |
| Desirae S Koonce | Physical Therapy | South Sound Physical and Hand Therapy Pllc | 275 Se Cabot Dr, Suite 05, Oak Harbor, WA 98277-3740 |
| Robert S Miller | Clinical Social Worker | 275 Se Cabot Dr, B206, Oak Haror, WA 98277-3755 | |
| Tony C Bartley | Family Medicine | Whidbey Island Public Hospital District | 275 Se Cabot Dr, B101 Whidbeyhealth Primary Care, Oak Harbor, WA 98277-3740 |
| Kristine M Holiday | Physician Assistant | Whidbey Island Public Hospital District | 275 Se Cabot Dr, B101 Whidbeyhealth Primary Care, Oak Harbor, WA 98277-3740 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Emerson L Burge | Optometry | 390 E Whidbey Ave, Oak Harbor, WA 98277-2573 | |
| Amy Marie Epp | Nurse Practitioner | Mynd Group LLC | 1051 Ne 7th Ave, Oak Harbor, WA 98277-2600 |
| Aaron R Burdge | Psychologist, Clinical | Mynd Group LLC | 1051 Ne 7th Ave, Oak Harbor, WA 98277-2600 |
| Levi Johnson | Physical Therapy | Skagit Island Rehabilitation Group LLC | 32650 State Route 20, E110, Oak Harbor, WA 98277-2641 |
| Joan Forest | Clinical Social Worker | 390 Ne Midway Blvd, Suite B206, Oak Harbor, WA 98277-2680 | |
| Peggie Salsbury Simler | Clinical Psychologist | Tri-essence Care, Pllc | 32650 State Route 20, Suite E203, Oak Harbor, WA 98277-2686 |
| Timothy Richter | Clinical Psychologist | Tri-essence Care, Pllc | 32650 State Route 20, Oak Harbor, WA 98277-2686 |
| Jon R Tiessen | Podiatry | 1100 Sw Bowmer St, Suite A103, Oak Harbor, WA 98277-3119 | |
| Zayan Kanjo | Internal Medicine | Whidbey Medical Clinic Pllc | 231 Se Barrington Dr, Suite 209, Oak Harbor, WA 98277-3200 |
| Michael David Thorpe | Family Medicine | Whidbey Medical Clinic Pllc | 231 Se Barrington Dr, Suite 209, Oak Harbor, WA 98277-3200 |
| Find all physicians in zip 98277 | |||
| City | OAK HARBOR |
| Zip Code | 98277 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | OAK HARBOR + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Catherine M Mizen.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.