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ERIC JOHN ROEDEL M.D. NPI 1588717375


NPI Information

NPI: 1588717375
Provider Name: ERIC JOHN ROEDEL, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Organization: BHC FAIRFAX HOSPITAL INC

PECOS Registration: Yes

Address:
3322 BROADWAY
SUITE 200
EVERETT, WA
ZIP 98201
Phone: (425) 249-4822
Get Directions

Eric John Roedel, M.D. is a family medicine in Everett, WA with 22 years of experience. The provider is 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. Eric John Roedel, M.D. NPI is 1588717375. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduation Year:2002

The provider's business location address is:

3322 BROADWAY
SUITE 200
EVERETT, WA
ZIP 98201-425
Phone: (425) 249-4822
Fax: (877) 860-2284

The NPI 1588717375 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/18/2007 and was last updated on 5/1/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineMD00044505WASHINGTONYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G8871865MEDICARE PINWASHINGTON
2G8859601MEDICARE PINWASHINGTON
3I51391MEDICARE UPINWASHINGTON
48447856MEDICAIDWASHINGTON
5G8809531MEDICARE PINWASHINGTON
6G8913726-EFF10/19/12MEDICARE PINWASHINGTON

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.