Active NPI
Rosemary Mallonee
- Emergency Medicine Physician
- Gig Harbor, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 61386542
- Practice address
- 11567 Canterwood Blvd
Gig Harbor, WA 98332-5812 - Phone
- (253) 530-2000
- NPI assigned
- Mar 24, 2020
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 61386542 | WA | Primary |
Addresses
Primary practice location
11567 Canterwood Blvd
Gig Harbor, WA 98332-5812
Mailing address
11567 Canterwood Blvd
Gig Harbor, WA 98332-5812
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Virginia Tech Carilion School of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1615 Delaware St
Longview, WA 98632-2367
Phone (360) 414-2000
Hospital & facility affiliations
- Peacehealth St John Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61386542 | WA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Northwest Observation Associates PC | Current | Accepting new patients | |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
21601 76th Ave W
Edmonds, WA 98026
Phone (425) 640-4000
34515 9th Ave S
Federal Way, WA 98003
Phone (253) 835-8100
11567 Canterwood Blvd
Gig Harbor, WA 98332
Phone (253) 530-2000
1615 Delaware St
Longview, WA 98632
Phone (360) 363-4818
888 Swift Blvd
Richland, WA 99352
Phone (509) 942-2115
1717 S J St
Tacoma, WA 98405
Phone (253) 426-4101
11315 Bridgeport Way SW
Tacoma, WA 98499
Phone (253) 588-1711
Interoperability endpoints
- rmallonee693840@direct.peacehealth.org
Organizations & group practices 5
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.
-
- Emergency Medicine Physician
- Edmonds, WA
- NPI 1447484274
-
- Emergency Medicine Physician
- Arlington, WA
- NPI 1235172370
-
- Internal Medicine Physician
- Federal Way, WA
- NPI 1023539376
-
- Emergency Medicine Physician
- Longview, WA
- NPI 1548920598
-
- Emergency Medicine Physician
- Fort Lauderdale, FL
- NPI 1700747946
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Longview, WA
- NPI 1073510277
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686182400000",
"number": "1720615461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11567 CANTERWOOD BLVD",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "983325812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11567 CANTERWOOD BLVD",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "983325812",
"telephone_number": "253-530-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALLONEE",
"first_name": "ROSEMARY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-24",
"last_updated": "2023-06-08",
"certification_date": "2023-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WA",
"license": "61386542",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gig Harbor, WA
- Amy Louise Maher, MD
- Jacqueline Ann Mahre-Murphy, PT
- Teresa Kay Maib, LCSW
- Malama Physical Therapy Performance and Pelvic Rehab PLLC
- Frances Grace Malley, LMP
- Heinz Eugene Malon, LMFT
- Marissa Jeanette Manning, RDH
- Stephanie Emiko Mano, OTR
- Manor Care of Gig Harbor Wa, Association
- Ludwig Manfred Mantay, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.