Julian Rodriguez

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA10000546 Issued in WA

Practice address

3000 Limited LN NW
Olympia, WA 98502-2704

Phone

(360) 357-9392

Fax

(360) 528-3049

NPI assigned

Nov 21, 2006

Last updated

Jul 31, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA, AK2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: jcrodriguez@direct.nshcorp.org

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

• Norton Sound Health Corporation

  • Critical Access Hospital
  • Nome, AK
  • NPI 1154358232
  Medicare reassignment NPD
• Westcare Clinic Inc PS

  • General Practice Physician
  • Renton, WA
  • NPI 1881769552
  Medicare reassignment
• Norton Sound Health Corporation

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Nome, AK
  • NPI 1427187046
  NPD
• Urgent Care of Olympia

  • Urgent Care Clinic/Center
  • Olympia, WA
  • NPI 1922270891
  NPD (past)

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185840000000",
    "number": "1235204801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2548 JACKSON HWY",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985328648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 LIMITED LN NW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985022704",
            "telephone_number": "360-357-9392",
            "fax_number": "360-528-3049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "JULIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2007-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA10000546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rodger a Lawton, DMD, PS (Northwest Center For Prosthodontics)
• Rodger a. Lawton, DMD, PS (Northwest Center for Prosthodontics)
• Aleshka Marie Rodriguez Monge, FSD AND CBE
• Andrea Rodriguez
• Dail Leonard Rodriguez
• Raul George Rodriguez Jr.
• Shania Rodriguez
• Steven Michael Rodriguez, AGACNP-BC
• Amanda Lee Roebuck, L.M.P., A.P.P.
• Christina Marie Roecker, LMP

• Medical Physician Assistant in Olympia, WA
• Providers in Olympia, WA by specialty
• Medical Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.