NPIMap

Organization Active NPI

Everett Cardiology & Electrophysiology, P.S.

  • Cardiovascular Disease Physician
  • Everett, WA
National Provider Identifier
1528266103
Registry record updated Nov 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD00022810 Issued in WA
Legal business name
EVERETT CARDIOLOGY & ELECTROPHYSIOLOGY, P.S.
Practice address
1330 Rockefeller Ave
225
Everett, WA 98201-1684
Phone
(425) 261-4910
Fax
(425) 261-4911
NPI assigned
Jul 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2007

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

Authorized official

Name
Dr. Jeffrey Steven Rose, M.D.NPI 1396749701
Title
Physician, Part Owner
Phone
(425) 261-4910

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X MD00022810 WA Primary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X PA10004886 WA
Clinical Cardiac Electrophysiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0001X MD00022810 WA
Clinical Cardiac Electrophysiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0001X PA10004886 WA
Medical Specialty Clinic/Center 261QM2500X MD00022810 WA
Medical Specialty Clinic/Center 261QM2500X PA10004886 WA

Addresses

Primary practice location

1330 Rockefeller Ave
225
Everett, WA 98201-1684

Mailing address

1330 Rockefeller Ave
225
Everett, WA 98201-1684
Phone (425) 261-4910

Other identifiers 6

IdentifierTypeStateIssuer
8435968OtherWADSHS J.MATISTA
1005040OtherWADSHS J. ROSE
1396749701OtherWANPI, J.ROSE
363A00000XOtherWATAXONOMY, J.MATISTA
1366435943OtherWANPI, J.MATISTA
207RC0000XOtherWATAXONOMY, J.ROSE

National Provider Directory

National Provider Directory

Locations

1330 Rockefeller Ave
#225
Everett, WA 98201
Phone (425) 261-4910

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195430400000",
    "number": "1528266103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 ROCKEFELLER AVE",
            "address_2": "225",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982011684",
            "telephone_number": "425-261-4910",
            "fax_number": "425-261-4911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 ROCKEFELLER AVE",
            "address_2": "225",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982011684",
            "telephone_number": "425-261-4910",
            "fax_number": "425-261-4911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERETT CARDIOLOGY & ELECTROPHYSIOLOGY, P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-05",
        "last_updated": "2007-11-19",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "PHYSICIAN, PART OWNER",
        "authorized_official_telephone_number": "425-261-4910",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WA",
            "license": "MD00022810",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WA",
            "license": "PA10004886",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "WA",
            "license": "MD00022810",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "WA",
            "license": "PA10004886",
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "WA",
            "license": "MD00022810",
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "WA",
            "license": "PA10004886",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DSHS J.MATISTA",
            "identifier": "8435968",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DSHS J. ROSE",
            "identifier": "1005040",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI, J.ROSE",
            "identifier": "1396749701",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY, J.MATISTA",
            "identifier": "363A00000X",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI, J.MATISTA",
            "identifier": "1366435943",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY, J.ROSE",
            "identifier": "207RC0000X",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.