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Deactivated NPI 1104821511 Deactivated / Inactive NPI Male Practitioner

Dr. Frederick H. Rosewater , MD

Specialist • Burien, WA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Frederick Rosewater has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 14, 2005
NPI Deactivation Date February 22, 2023
Total Practice Duration ~18 Years of Practice (2005 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Frederick Rosewater, MD was a registered Specialist practicing in Burien, WA. Throughout an active medical career spanning 18 years, Dr. Rosewater provided care at the practice location at 16110 8TH AVE SW until profile deactivation on 2023-02-22.

Practice Location & Contact Primary Location

Practice Address

16110 8th Ave Sw
Ste B1

Burien, WA 981662963

Telephone 2062485020
Fax 2062448425
Associated Practice Facility / Clinic
🏢 Pierre A. Nader, M.d., P.s. Facility NPI 1992726830

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Burien, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 35.4 Yrs
Regional Practice Density
18 Specialists

Practicing in Burien, WA (2751 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License WA MD00014015

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1427053834

Doctor of Medicine (M.D.)

Maria Santos-Nichol , ARNP

Nurse Practitioner

NPI 1952878746

Advanced Registered Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated February 22, 2023

Record deactivated on February 22, 2023

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 16110 8TH AVE SW, STE B1, BURIEN, WA 981662963 (Tel: 2062485020)

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Updated Business Mailing Address July 08, 2007

Registered at 16110 8TH AVE SW, STE B1, BURIEN, WA 981662963 (Tel: 2062485020)

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Provider Name / Credentials Updated July 08, 2007

Recorded as FREDERICK ROSEWATER, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #MD00014015 in WA)

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Initial NPI Registration & Enumeration June 14, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104821511
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 14, 2005
Last Update: July 08, 2007
Deactivation Date: February 22, 2023

Mailing Address

16110 8th Ave Sw, Ste B1

Burien, WA 981662963

Phone: 2062485020

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.