DR. MARK CONRAD VALENTINE (NPI# 1043294473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043294473 |
| Entity Type | Individual |
| Full Name | DR. MARK CONRAD VALENTINE |
| Credential | M.D. |
| Practice Address |
3327 Colby Ave Everett WA 98201-6403 |
| Practice Telephone | 4252586767 |
| Practice Fax Number | 4252596260 |
| Mailing Telephone | 4252586767 |
| Mailing Fax Number | 4252596260 |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2007-11-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | MD00017167 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1489608 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932769502 | Mark Cannon Valentine | Obstetrics & Gynecology | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2019-06-17 |
| Street Address |
3327 COLBY AVE |
| City | EVERETT |
| State | WA |
| Zip Code | 98201-6403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649454026 | Michael L. Tjoelker, M.d. | Dermatology | 3327 Colby Ave, Everett, WA 98201-6403 | 2007-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306471867 | Shannon Michelle Dewald | Registered Nurse | D8s 1700 13th St, Everett, WA 98201 | 2020-03-05 |
| 1578123113 | Precious Medicial Spa, LLC | Registered Nurse | 1728 W. Marine View Dr Suite 212, Everett, WA 98201 | 2019-06-17 |
| 1508429796 | Alix Deschain | Counselor | 2801 Broadway, Everett, WA 98201 | 2019-04-15 |
| 1811457534 | Khushboo Patel | Pharmacist | 1330 Rockefeller Ave Ste 150, Everett, WA 98201 | 2019-03-20 |
| 1164991188 | Grace Talbot Davis | Registered Nurse | 2601 Summit Avenue, Bldg. C, Everett, WA 98201 | 2018-11-20 |
| 1063924603 | Tracy Sisk | Counselor | 3120 Colby Ave, 502, Everett, WA 98201 | 2017-11-03 |
| 1710403126 | Michelle Durham | Counselor | 3322 Boadway Fl 2, Everett, WA 98201 | 2017-08-17 |
| 1861927949 | Melanie Schmidt | Counselor | 2610 Westmore Ave, Everett, WA 98201 | 2017-04-26 |
| 1518413327 | Joseph Madson Dmd Pllc | Clinic/Center | 3802 Colby Ave, 4th Floor, Everett, WA 98201 | 2016-08-31 |
| 1043683162 | Jennifer Adams | Counselor | 1511 26th St, Everett, WA 98201 | 2015-11-11 |
| Find all providers in zip 98201 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568427623 | Linda S Gabourel | Dermatology | 4004 Colby Ave, Everett, WA 98201-6203 | 2006-04-19 |
| 1336599208 | Teerawit Supakorndej | Dermatology | 4004 Colby Ave, Everett, WA 98201-6203 | 2016-06-21 |
| 1821356924 | Matthew Majerus | Dermatology | 4004 Colby Ave, Everett, WA 98201-6203 | 2012-04-25 |
| 1205135092 | Ge Zhao | Dermatology | 4004 Colby Ave, Everett, WA 98201-6203 | 2011-03-21 |
| 1912158023 | Providence Health & Services - Wa | Dermatology | 12800 Bothell Everett Hwy, Suite 260, Everett, WA 98208-6642 | 2008-10-07 |
| 1235394560 | Zarry Tavakkol | Dermatology | 4004 Colby Ave, Everett, WA 98201-6203 | 2008-07-25 |
| 1578720512 | Meredith Pierce Sheedy | Dermatology | 4004 Colby Ave, Everett, WA 98201-6203 | 2008-05-19 |
| 1649454026 | Michael L. Tjoelker, M.d. | Dermatology | 3327 Colby Ave, Everett, WA 98201-6403 | 2007-12-20 |
| 1275669459 | Susan Oldenkamp | Dermatology | 12811 8th Ave W, Suite D-109, Everett, WA 98204-6335 | 2007-02-24 |
| 1932270360 | Providence Physician Group | Dermatology | 12800 Bothell Everett Hwy, Suite 260, Everett, WA 98208-6642 | 2006-11-09 |
| Find all providers in EVERETT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.