EVERETT CARDIOLOGY & ELECTROPHYSIOLOGY P.S. NPI 1528266103

NPI Information

NPI: 1528266103
Provider Name: EVERETT CARDIOLOGY & ELECTROPHYSIOLOGY, P.S.
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
1330 ROCKEFELLER AVE
225
EVERETT, WA
ZIP 98201
Phone: (425) 261-4910
Get Directions

EVERETT CARDIOLOGY & ELECTROPHYSIOLOGY, P.S. is a cardiovascular disease internal medicine in Everett, WA. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. EVERETT CARDIOLOGY & ELECTROPHYSIOLOGY, P.S. NPI is 1528266103. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1330 ROCKEFELLER AVE
225
EVERETT, WA
ZIP 98201-684
Phone: (425) 261-4910
Fax: (425) 261-4911

The provider's authorized official is Jeffrey Steven Rose .
The authorized official title is Physician, Part Owner and has the following contact phone number (425) 261-4910.

The enumeration date for this NPI number is 7/5/2007 and was last updated on 11/19/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0001X	Internal Medicine	Clinical Cardiac Electrophysiology	MD00022810	WASHINGTON	No
2	207RC0001X	Internal Medicine	Clinical Cardiac Electrophysiology	PA10004886	WASHINGTON	No
3	207RC0000X	Internal Medicine	Cardiovascular Disease	PA10004886	WASHINGTON	No
4	261QM2500X	Clinic/Center	Medical Specialty	MD00022810	WASHINGTON	No
5	261QM2500X	Clinic/Center	Medical Specialty	PA10004886	WASHINGTON	No
6	207RC0000X	Internal Medicine	Cardiovascular Disease	MD00022810	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1396749701	OTHER	WASHINGTON	NPI, J.ROSE
2	8435968	OTHER	WASHINGTON	DSHS J.MATISTA
3	363A00000X	OTHER	WASHINGTON	TAXONOMY, J.MATISTA
4	G8854566	MEDICARE PIN	WASHINGTON
5	1005040	OTHER	WASHINGTON	DSHS J. ROSE
6	A49547	MEDICARE UPIN	WASHINGTON
7	8856052	MEDICARE PIN	WASHINGTON
8	S61123	MEDICARE UPIN	WASHINGTON
9	207RC0000X	OTHER	WASHINGTON	TAXONOMY, J.ROSE
10	1366435943	OTHER	WASHINGTON	NPI, J.MATISTA
11	8854567	MEDICARE PIN	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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