Active NPI
Claire L Rosche Matzzie, PA-C
- Medical Physician Assistant
- Rockville, MD
National Provider Identifier
1225199631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- C0005362
- Practice address
- 15825 Shady Grove Rd Ste 140
Rockville, MD 20850-4015 - Phone
- (301) 869-9776
- Fax
- (202) 544-2714
- NPI assigned
- Dec 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | C0005362 | MD | Primary |
| Medical Physician Assistant | 363AM0700X | PA030358 | DC |
Addresses
Primary practice location
15825 Shady Grove Rd Ste 140
Rockville, MD 20850-4015
Mailing address
15825 Shady Grove Rd Ste 140
Rockville, MD 20850-4015
Phone (301) 869-9776
Other practice location 1
5530 Wisconsin Ave Ste 530
Chevy Chase, MD 20815-4451
Phone (301) 869-9776
Other practice location 2
18550 Office Park Dr
Montgomery Village, MD 20886-0586
Phone (301) 869-9776
Other names 1
- Claire L Rosche
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C0005362 | MD | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549238400000",
"number": "1225199631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15825 SHADY GROVE RD STE 140",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208504015",
"telephone_number": "301-869-9776",
"fax_number": "202-544-2714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15825 SHADY GROVE RD STE 140",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208504015",
"telephone_number": "301-869-9776",
"fax_number": "202-544-2714"
}
],
"practiceLocations": [
{
"address_1": "5530 Wisconsin Ave Ste 530",
"address_purpose": "LOCATION",
"city": "Chevy Chase",
"state": "MD",
"postal_code": "208154451",
"country_code": "US",
"telephone_number": "301-869-9776",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "18550 Office Park Dr",
"address_purpose": "LOCATION",
"city": "Montgomery Village",
"state": "MD",
"postal_code": "208860586",
"country_code": "US",
"telephone_number": "301-869-9776",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROSCHE MATZZIE",
"first_name": "CLAIRE",
"middle_name": "L",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-12",
"last_updated": "2019-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MD",
"license": "C0005362",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "DC",
"license": "PA030358",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CLAIRE",
"last_name": "ROSCHE",
"middle_name": "L",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.