Robert Bruce Worth MD Inc PS

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD00018292 Issued in WA

Legal business name

ROBERT BRUCE WORTH MD INC PS

Doing business as

R. Bruce Worth MD

Practice address

1020 Anderson Dr
Suite 203
Aberdeen, WA 98520-1055

Phone

(360) 533-6063

Fax

(360) 533-2204

NPI assigned

Feb 6, 2007

Last updated

Jan 4, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jan Dahl

Title

Office Manager

Phone

(360) 533-6063

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• R. Bruce Worth MD Doing business as

Locations

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199404800000",
    "number": "1790824332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 ANDERSON DR",
            "address_2": "SUITE 203",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985201055",
            "telephone_number": "360-533-6063",
            "fax_number": "360-533-2204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 ANDERSON DR",
            "address_2": "SUITE 203",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985201055",
            "telephone_number": "360-533-6063",
            "fax_number": "360-533-2204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT BRUCE WORTH MD INC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2008-01-04",
        "status": "A",
        "authorized_official_last_name": "DAHL",
        "authorized_official_first_name": "JAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "360-533-6063"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00018292",
            "primary": true
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "WA",
            "license": "MD00018292",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1928209",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "R. Bruce Worth MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michaela Sarai Richardson, RN
• Crystal Dawn Sanchez Richey
• Patricia Rider
• Julie Mae Rifenberg, RN
• Tammy Lea Roberson
• Robert L. Hovancsek, D.P.M. PS
• Raymon Robinette
• Enisa Rodriguez-Vasquez
• Rachael Rogan
• Deanna Jean Rogel

• Family Medicine Physician in Aberdeen, WA
• Providers in Aberdeen, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2008; 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.