Active NPI
Rowena Maderazo Caratao, M.D.
- Pediatrics Physician
- Montesano, WA
National Provider Identifier
1699700245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD00020781
- Practice address
- 319 E Pioneer Ave
Montesano, WA 98563-4601 - Phone
- (360) 533-4599
- Fax
- (360) 537-6514
- NPI assigned
- Jul 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD00020781 | WA | Primary |
Addresses
Primary practice location
319 E Pioneer Ave
Montesano, WA 98563-4601
Mailing address
615 N F St
Aberdeen, WA 98520-2657
Phone (360) 533-4599
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1075282 | Medicaid | WA |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00020781 | WA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362009600000",
"number": "1699700245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 N F ST",
"city": "ABERDEEN",
"state": "WA",
"postal_code": "985202657",
"telephone_number": "360-533-4599",
"fax_number": "360-537-6514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "319 E PIONEER AVE",
"city": "MONTESANO",
"state": "WA",
"postal_code": "985634601",
"telephone_number": "360-533-4599",
"fax_number": "360-537-6514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARATAO",
"first_name": "ROWENA",
"middle_name": "MADERAZO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-12",
"last_updated": "2013-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WA",
"license": "MD00020781",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1075282",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Montesano, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.