DR. MARK J WALISER (NPI# 1356368161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356368161 |
| Entity Type | Individual |
| Full Name | DR. MARK J WALISER |
| Credential | MD |
| Practice Address |
174 First Avenue North Ilwaco WA 98624-0258 |
| Mailing Address |
Po Box H Ilwaco WA 98624-0258 |
| Practice Telephone | 3606423181 |
| Mailing Telephone | 3606423181 |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | MD00025170 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | L & I | 25713 | 01 |
| WA | 104152 | 05 |
| Street Address |
174 FIRST AVENUE NORTH |
| City | ILWACO |
| State | WA |
| Zip Code | 98624-0258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467771147 | Remote Diagnostic Interpreters PC | Radiology | 174 First Avenue North, Ilwaco, WA 98624-0258 | 2010-05-20 |
| 1437328085 | Kennewick Radiology Group PC | Radiology | 174 First Avenue North, Ilwaco, WA 98624 | 2008-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215240593 | Discovery Coast Emergency Physicians LLC | Emergency Medicine | 174 First Ave. North, Ilwaco, WA 98624 | 2010-07-15 |
| 1720216302 | Jeffrey J Chabot | Pharmacist | 101 Spruce, Ilwaco, WA 98624 | 2009-06-23 |
| 1700025137 | Penny Irene Neal | Specialist | 120 First Avenue, Ilwaco, WA 98624 | 2009-02-09 |
| 1487817508 | Pacific Heart Associates PC | Specialist | 174 First Ave N, Ilwaco, WA 98624 | 2008-07-09 |
| 1639396203 | Ocean Beach Chiropractic Ps | Chiropractor | 167 First Avenue, North, Ilwaco, WA 98624 | 2007-04-18 |
| 1265568133 | Tamra Kay Roloff | Midwife | 901 Lakeview Drive, Ilwaco, WA 98624 | 2007-02-26 |
| 1255416038 | Peninsula Pharmacies Inc | Pharmacy | 101 1st Ave South, Ilwaco, WA 98624 | 2006-10-27 |
| 1356423883 | Ocean Beach Physical Therapy Inc | Physical Therapist | 316 1st Ave. North, Ilwaco, WA 98624 | 2006-10-20 |
| 1295825727 | Thomas Sutherland | Pharmacist | 101 First Ave S, Ilwaco Pharmacy, Ilwaco, WA 98624 | 2006-10-13 |
| 1922198662 | Victoria Margaret Vestal | Physical Therapist | 316 1st Ave North, Ilwaco, WA 98624 | 2006-10-13 |
| Find all providers in zip 98624 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215240593 | Discovery Coast Emergency Physicians LLC | Emergency Medicine | 174 First Ave. North, Ilwaco, WA 98624 | 2010-07-15 |
| 1356362081 | Johnny Stephen Bell | Emergency Medicine | 117 Spruce St., Ilwaco, WA 98624-0000 | 2006-07-21 |
| 1669525739 | Mark R. Kaehler | Emergency Medicine | 176 1st Ave N, Ocean Beach Hospital - Emcare Emergency Physicians, Ilwaco, WA 98624-9137 | 2007-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659985554 | Trans-west Ambulance Service LLC | Emergency Medicine | 526 N West Ave # Pmb112, Arlington, WA 98223-1251 | 2020-09-08 |
| 1629602016 | Franciscan Medical Group | Emergency Medicine | 3556 Market Pl W Ste 109, University Place, WA 98466-4339 | 2020-02-25 |
| 1477010676 | Hcmd LLC | Emergency Medicine | 11477 Nw Admiral Pl, Silverdale, WA 98383-4503 | 2019-02-23 |
| 1801352505 | Western Washington Emergency Physicians Pllc | Emergency Medicine | 14815 Pacific Ave S, Parkland, WA 98444-4654 | 2019-02-18 |
| 1013490507 | Dispatchhealth Washington PC | Emergency Medicine | 6912 220th St Sw Ste 113, Mountlake Terrace, WA 98043-2174 | 2018-09-11 |
| 1659802320 | Anders Conway | Emergency Medicine | 413 Lilly Rd Ne Dept Of, Olympia, WA 98506-5133 | 2017-03-24 |
| 1457705147 | Daniel Hinds | Emergency Medicine | 10019 N Austin Ln, Spokane, WA 99208-6072 | 2016-04-19 |
| 1497140206 | Angus Agnew | Emergency Medicine | 315 M.l.k. Jr. Way, Tacoma, WA 98405 | 2015-03-30 |
| 1518376151 | Karthikeyan Muthuswamy | Emergency Medicine | St Clare Hospital Emergency Department, 11315 Bridgeport Way Sw, Lakewood, WA 98499 | 2014-08-07 |
| 1285041137 | Anthony Guynes | Emergency Medicine | Swedish Phys. Redmond, 18100 Ne Union Hill Rd. Ste 200, Redmond, WA 98052-3330 | 2014-07-11 |
| Find all providers with the same taxonomy | ||||
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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.