MARK W STIVERS (NPI# 1316946437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316946437 |
| Entity Type | Individual |
| Full Name | MARK W STIVERS |
| Credential | DDS |
| Practice Address |
12728 19th Ave Se # 101 Everett WA 98208 |
| Mailing Address |
12728 19th Ave Se # 101 Everett WA 98208-6526 |
| Practice Telephone | 4252244661 |
| Mailing Telephone | 4252244661 |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2018-07-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
DS9908 | TN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417943523 | Mark Stivers | Internal Medicine | 5401 N Knoxville Ave Ste 203, Peoria, IL 61614-5021 | 2005-09-23 |
| 1578797262 | Mark Rutherford Stivers | Anesthesiology | 619 19th St S, Birmingham, AL 35249-1900 | 2009-05-08 |
| 1992794143 | Mark T Stivers | Pathology | 2750 Clay Edwards Dr, Suite 420, North Kansas City, MO 64116-3237 | 2005-10-20 |
| Street Address |
12728 19TH AVE SE # 101 |
| City | EVERETT |
| State | WA |
| Zip Code | 98208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790270296 | Kenneth Britt Dyer | Registered Nurse | 10333 19th Ave, Se, Ste #109, Everett, WA 98208 | 2018-06-27 |
| 1518482215 | Glacier Peak Healthcare, Inc. | Home Health | 10530 19th Ave Se Ste 201, Everett, WA 98208 | 2017-08-03 |
| 1114454865 | Aliza Kreisman | Registered Nurse | 11020 19th Avenue Se, Kaiser Permanente of Washington Seattle Care Clinic, Everett, WA 98208 | 2017-05-12 |
| 1902269418 | Clay Eakin | Counselor | 2732 Grand Evenue, Everett, WA 98208 | 2016-04-01 |
| 1467810259 | Elizabeth Anne Powley | Marriage & Family Therapist | 1920 100th Street Southeast, Bld C3, Everett, WA 98208 | 2016-02-08 |
| 1659745842 | Andrea Rose Bedlington | Pharmacist | 11407 33rd Dr. Se, Everett, WA 98208 | 2015-11-25 |
| 1396123865 | Sound Surgeons Pllc | Clinic/Center | 125 130th Street Se, 1st Floor, Everett, WA 98208 | 2015-05-15 |
| 1831576537 | Chris Sturgeon | Counselor | 10102 Meridian Ave, Everett, WA 98208 | 2015-05-01 |
| 1982011128 | James M Lee | Physical Therapist | 10821 19th Ave Se Ste 102, Everett, WA 98208 | 2014-07-21 |
| 1972937357 | Ronald Tracy | Dentist | 10315 19th Avenue Se Suite 110, Everett, WA 98208 | 2013-08-21 |
| Find all providers in zip 98208 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104396969 | Mark Stivers, Dds, Inc., P.s. | Dentist | 12728 19th Ave Se Ste 101, Everett, WA 98208-6526 | 2018-12-04 |
| 1932496809 | Marc J Toso | Dentist | 5929 Evergreen Way Ste 300, Everett, WA 98203 | 2011-06-29 |
| 1710906300 | Christopher Michael Lance | Dentist | 138 Memorial Dr, Everett, PA 15537-7028 | 2006-07-18 |
| 1073826996 | Gordon B Davis Md Dds Ps | Dentist | 1111 Pacific Ave, Suite A, Everett, WA 98201-4200 | 2010-07-20 |
| 1184944001 | Washingtonoralmaxillofacialsurgery | Dentist | 5929 Evergreen Way, 300, Everett, WA 98203-6031 | 2010-06-02 |
| 1770787442 | Paul E Tesone Dds Inc | Dentist | 563 Broadway, Suite 4, Everett, MA 02149 | 2007-06-14 |
| 1184779977 | Paul Edward Tesone | Dentist | 563 Broadway, #4, Everett, MA 02149 | 2007-01-24 |
| 1477641041 | Gordon Bruce Davis | Dentist | 1111 Pacific Ave, Ste 1, Everett, WA 98201-4200 | 2006-10-10 |
| 1538257308 | Jae Y Hong | Dentist | 5929 Evergreen Way, # 300, Everett, WA 98203-6031 | 2006-10-10 |
| 1972522530 | Gregory Wynn Pyle | Dentist | 138 Memorial Dr, Everett, PA 15537-7028 | 2006-07-18 |
| 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.