Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Theodore R Bosch, MD

Individual provider Surgery Physician · NPI 1912032962

Theodore R Bosch, MD is a General Surgery in Mount Vernon, Washington. Graduated from University of Washington School of Medicine in 1999, 27 years ago. Practices with Pro Health One Inc, a 28-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California and Washington.

Years since qualifying
27
Trained at
University of Washington School of Medicine
Licensed in
CA, WA
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

208 S 14th St
Mount Vernon, WA 98274-4117
Phone: (360) 814-2600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 875 Wesley St Ste 210, Arlington, WA 98223-1668 — (360) 659-4440
  • 1415 E Kincaid St, Mount Vernon, WA 98274-4126 — (360) 424-4111

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence MD61652294 (WA)
Surgery Physician Taxonomy 208600000X · Licence A75333 (CA)

Record details

NPI number1912032962
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedFebruary 22, 2007
Last updated in NPPESMay 21, 2026
Certification dateMay 21, 2026
Mailing address1415 E Kincaid St, Mount Vernon, WA 98274-4126

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated 1999 (27 years in practice)
Group practice Pro Health One Inc — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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