Individual provider Active NPI

Marc Rosenshein, M.D

  • Hematology & Oncology Physician
  • Edmonds, WA
National Provider Identifier
1205804184
Registry record updated Oct 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
MD00016398 Issued in WA
Practice address
21605 76TH Ave W
Ste # 200
Edmonds, WA 98026-7514
Phone
(425) 775-1677
Fax
(425) 778-1635
NPI assigned
Mar 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X MD00016398 WA Primary

Addresses

Primary practice location

21605 76TH Ave W
Ste # 200
Edmonds, WA 98026-7514

Mailing address

21605 76TH Ave W
Ste # 200
Edmonds, WA 98026-7514
Phone (425) 775-1677

Other identifiers 1

IdentifierTypeStateIssuer
1632900MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD00016398WAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Cancer Centers PC Hematology & Oncology Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193097600000",
    "number": "1205804184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21605 76TH AVE W",
            "address_2": "STE # 200",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267514",
            "telephone_number": "425-775-1677",
            "fax_number": "425-778-1635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21605 76TH AVE W",
            "address_2": "STE # 200",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267514",
            "telephone_number": "425-775-1677",
            "fax_number": "425-778-1635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENSHEIN",
        "first_name": "MARC",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2007-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "WA",
            "license": "MD00016398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1632900",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmonds, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; 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.