MARK R LEVY (NPI# 1235145186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235145186 |
| Entity Type | Individual |
| Full Name | MARK R LEVY |
| Credential | MD |
| Practice Address |
100 Ne Gilman Blvd Issaquah WA 98027-2925 |
| Mailing Address |
1100 9th Ave Ms:m4-pa Seattle WA 98101-2756 |
| Practice Telephone | 4255578000 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2012-09-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD00020970 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | AETNA/USHC SPECIALIST | US4120494 | 01 |
| WA | 8599003 | 05 | |
| WA | BLUE SHIELD | L587 | 01 |
| WA | LABOR & INDUSTRY | 0039581 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962553610 | Mark L Levy | Dentist | 1335 Dublin Rd Ste 100b, Columbus, OH 43215-1000 | 2007-01-16 |
| 1356305668 | Mark R Levy | Specialist | 2312 15th St, Troy, NY 12180-2306 | 2006-04-13 |
| 1548243389 | Mark Levy | Neurological Surgery | 45 E River Park Pl W, Suite 104, Fresno, CA 93720-1562 | 2005-11-25 |
| 1154324010 | Mark Neal Levy | Podiatrist | 1201 Seven Locks Rd, Ste 202, Rockville, MD 20854-2956 | 2005-05-24 |
| 1689811739 | Mark I Levy | Psychiatry & Neurology | 655 Redwood Hwy, Suite 271, Mill Valley, CA 94941-3034 | 2009-01-12 |
| 1598944605 | Mark I Levy | Chiropractor | 2040 E Bell Rd Ste 140, Phoenix, AZ 85022-2937 | 2007-10-25 |
| 1396804068 | Mark Levy | Dentist | 444 Lee St, Des Plaines, IL 60016-4613 | 2006-12-08 |
| 1821193921 | Mark M Levy | Surgery | 1250 E Marshall St, Surgery/ Vascular, Richmond, VA 23298-5051 | 2006-09-13 |
| 1255433728 | Mark H. Levy | Internal Medicine | 4959 Golf Rd, Skokie, IL 60077-1537 | 2006-09-03 |
| 1982711909 | Mark Levy | Internal Medicine | 3000 Q St, Sacramento, CA 95816-7058 | 2006-08-24 |
| Street Address |
100 NE GILMAN BLVD |
| City | ISSAQUAH |
| State | WA |
| Zip Code | 98027-2925 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043214596 | Virginia Mason Medical Center | Pharmacy | 100 Ne Gilman Blvd, Issaquah, WA 98027-2925 | 2005-06-10 |
| 1932658564 | Anna Hancock | Physician Assistant | 100 Ne Gilman Blvd, Issaquah, WA 98027 | 2016-09-23 |
| 1609252063 | Jeffrey Selbig | Registered Nurse | 100 Ne Gilman Blvd, Issaquah, WA 98027-2925 | 2015-08-07 |
| 1548667330 | Olga Klachkovich | Psychiatry & Neurology | 100 Ne Gilman Blvd, Issaquah, WA 98027-2925 | 2014-11-23 |
| 1275946519 | Derrick Soong | Pediatrics | 100 Ne Gilman Blvd, Issaquah, WA 98027-2925 | 2014-06-04 |
| 1912339276 | Machiko Mcclave | Physical Therapist | 100 Ne Gilman Blvd, Issaquah, WA 98027 | 2013-08-08 |
| 1164714671 | Sara May | Student in an Organized Health Care Education/Training Program | 100 Ne Gilman Blvd, Issaquah, WA 98027-2925 | 2011-05-03 |
| 1932342649 | Jessica Lynn Ebberson | Pediatrics | 100 Ne Gilman Blvd, Issaquah, WA 98027-2925 | 2009-04-10 |
| 1578723326 | Connie June Chen | Ophthalmology | 100 Ne Gilman Blvd, Issaquah, WA 98027-2925 | 2008-06-16 |
| 1023217734 | Alice J. Kim | Internal Medicine | 100 Ne Gilman Blvd, Issaquah, WA 98027-2925 | 2007-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780281840 | Cascade Hand & Orthopedic Rehab, Inc. | Clinic/Center | 1301 4th Avenue Nw, Suite 200, Issaquah, WA 98027 | 2020-10-01 |
| 1700494630 | Genevieve S Ward | Counselor | 22500 Se 64th Place, Building G, Suite 150, Issaquah, WA 98027 | 2020-07-16 |
| 1891338604 | Amy Mezulis | Psychologist | 1740 Nw Maple St. #210, Issaquah, WA 98027 | 2019-10-24 |
| 1578055083 | Vivian Yu-en Hsiao | Physical Therapist | 1301 4th Ave Nw Ste 300, Issaquah, WA 98027 | 2018-05-31 |
| 1831698000 | Peter James Carlson | Physical Therapist | 22500 Se 64th Place, Building G, Suite 115, Issaquah, WA 98027 | 2018-02-02 |
| 1902323553 | David Robert Primrose | Dentist | 600 Nw Gilman Blvd Ste B, Issaquah, WA 98027 | 2017-08-24 |
| 1083135446 | Tara Rose | Massage Therapist | 680 Nw Gilman Blvd., Ste. A, Issaquah, WA 98027 | 2017-07-06 |
| 1295276194 | Amy Davenport | Occupational Therapist | 1871 Nw Gilman Blvd #2, Issaquah, WA 98027 | 2017-03-13 |
| 1942751771 | Krista L Gibbons | Counselor | 1700 Nw Blvd, Suite #200, Issaquah, WA 98027 | 2016-10-17 |
| 1376903237 | Kari Wathen Torres | Occupational Therapist | 710 Nw Juniper St Ste 100, Issaquah, WA 98027 | 2016-03-03 |
| Find all providers in zip 98027 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194110908 | May Y. Mar | Family Medicine | 5708 E. Lake Sammamish Pkwy Se, Issaquah, WA 98029 | 2015-03-30 |
| 1083909428 | Michelle Angelika Kauffman | Family Medicine | 5708 E Lake Sammamish Pkwy Se Ste 102, Issaquah, WA 98029-8942 | 2011-06-14 |
| 1073772539 | Lee Ha Chan | Family Medicine | 3710 Providence Point Dr Se, Issaquah, WA 98029-6242 | 2008-06-09 |
| 1225295330 | Elizabeth Mullen Bennett | Family Medicine | 415 Everwood Ct Nw, Issaquah, WA 98027-2602 | 2008-05-19 |
| 1083751333 | Sarah Hiam | Family Medicine | 5708 E. Lake Sammamish Pkwy, Issaquah, WA 98129 | 2007-01-30 |
| 1912043720 | Issaquah Medical Group | Family Medicine | 450 Nw Gilman Blvd Ste 201, Issaquah, WA 98027-2483 | 2007-01-29 |
| 1699840769 | Rebecca Jean Richardson | Family Medicine | 18501 Se Newport Way, #f-129, Issaquah, WA 98027-9036 | 2006-11-22 |
| 1063590529 | Anthony Scott Barnett | Family Medicine | 751 Ne Blakely Dr., Suite 5010, Issaquah, WA 98029-6201 | 2006-11-01 |
| 1821173279 | David S Farrell | Family Medicine | 3707 Providence Point Dr Se, Ste G, Issaquah, WA 98029-6216 | 2006-10-26 |
| 1760490692 | Reinier Dejong Vancoevorden | Family Medicine | 1490 Nw Gilman Blvd., Issaquah, WA 98027 | 2006-08-04 |
| Find all providers in ISSAQUAH | ||||
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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.