Carol A Doroshow, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD00020986 Issued in WA

Practice address

4411 Fremont Ave N
Seattle, WA 98103-7225

Phone

(206) 957-1881

Fax

(206) 957-1895

NPI assigned

Oct 17, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rainbow Pediatrics, LLC

  • Pediatrics Physician
  • Seattle, WA
  • NPI 1659554533
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585612800000",
    "number": "1063592368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4411 FREMONT AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981037225",
            "telephone_number": "206-957-1881",
            "fax_number": "206-957-1895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4411 FREMONT AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981037225",
            "telephone_number": "206-957-1881",
            "fax_number": "206-957-1895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOROSHOW",
        "first_name": "CAROL",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "MD00020986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1072255",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "6585DO",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4215844",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREMERA",
            "identifier": "P594301",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "800274",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Neill Dorn, BCBA
• Susan M Dorn, LMFT
• Hannah S Dornbusch Jr.
• Lindsey Elizabeth Dornbusch, CBT
• Eric Michael Dornoff, MD
• Dorothy N Yang MD Inc PS
• Gregory Clark Dorow, ATC
• Hollie Dorr
• Sebastian Jeremy Daniel Dorrance
• Tiffany Dorrell Dahl, M.A., L.M.H.C

• Pediatrics Physician in Seattle, WA
• Providers in Seattle, WA by specialty
• Pediatrics Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.