DR. MARK JOHN FURIN (NPI# 1407077712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407077712 |
| Entity Type | Individual |
| Full Name | DR. MARK JOHN FURIN |
| Credential | M.D. |
| Practice Address |
2525 Ne 139th St Suite 220 Vancouver WA 98686-2719 |
| Mailing Address |
14500 Nw 20th Ave Vancouver WA 98685-8006 |
| Practice Telephone | 3608822778 |
| Practice Fax Number | 3606041673 |
| Mailing Telephone | 3607219008 |
| Mailing Fax Number | 3606041673 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2011-12-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Y00000X | Otolaryngology | MD22421 | OR | Allopathic & Osteopathic Physicians |
| Y | 207Y00000X | Otolaryngology | 00038886 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | STATE LICENSE | MD22421 | 01 |
| WA | STATE LICENSE | MD38886 | 01 |
| Street Address |
2525 NE 139TH ST SUITE 220 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98686-2719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134115512 | Duy Quang Tran | Family Medicine | 2525 Ne 139th St, Vancouver, WA 98686-2719 | 2005-09-21 |
| 1013426584 | Allison Lawrence | Advanced Practice Midwife | 2525 Ne 139th St, Vancouver, WA 98686 | 2017-09-27 |
| 1124571971 | Rebecca Rowney | Physician Assistant | 2525 Ne 139th St, Vancouver, WA 98686-2719 | 2016-07-28 |
| 1285094896 | Lori Watson | Advanced Practice Midwife | 2525 Ne 139th St, Vancouver, WA 98686-2719 | 2016-02-25 |
| 1801210323 | Stephanie Olin | Physical Therapist | 2525 Ne 139th St, Suite #170, Vancouver, WA 98686-2719 | 2014-02-05 |
| 1932547817 | Sean Robert Williams | Pharmacist | 2525 Ne 139th St, Vancouver, WA 98686-2719 | 2013-06-12 |
| 1972867380 | Michelle L. Delplanche | Obstetrics & Gynecology | 2525 Ne 139th St, Suite 270, Vancouver, WA 98686-2719 | 2012-06-29 |
| 1225317308 | Alexandra Maree Jakubowski | Physical Therapist | 2525 Ne 139th St, Vancouver, WA 98686-2719 | 2011-08-08 |
| 1447543459 | Aaron L Adam | Physician Assistant | 2525 Ne 139th St, Vancouver, WA 98686-2719 | 2011-05-24 |
| 1912299256 | Evan A Olson | Ophthalmology | 2525 Ne 139th St, #280, Vancouver, WA 98686-2719 | 2011-05-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154891117 | Dorota Bozena Barton | Speech-Language Pathologist | 2121 Ne 139th Street Mob A, Suite 200, Vancouver, WA 98686 | 2018-12-03 |
| 1881161818 | Michelle Wolfe | Dental Assistant | A101, 1484, 14313 Ne 20th Ave, Vancouver, WA 98686 | 2018-10-29 |
| 1306321237 | Rainier Springs Physician Group, LLC | General Practice | 2805 Ne 129th Street, Vancouver, WA 98686 | 2018-09-26 |
| 1801382387 | Kristopher K Kostenko | Dentist | 14201 Ne 20th Ave Ste A101, Vancouver, WA 98686 | 2018-07-08 |
| 1689164071 | Tegan Mills | Occupational Therapist | 7101 Ne 109th Street, Apt 64, Vancouver, WA 98686 | 2018-05-11 |
| 1164924122 | Kate Kristin Lawrence | Speech-Language Pathologist | 2215 Ne 104th St, Vancouver, WA 98686 | 2018-03-06 |
| 1437609567 | Elina Baranets | Registered Nurse | 14204 Ne Salmon Creek Avenue, Vancouver, WA 98686 | 2016-10-13 |
| 1386039550 | Sean Vikram Bhatia | Internal Medicine | Kaiser Salmon Creek, 14406 Ne 20th Ave, Vancouver, WA 98686 | 2015-04-03 |
| 1376988642 | Lindsay Hussey-andersen | Orthopaedic Surgery | 2525 Ne 139th St Ste 140, Vancouver, WA 98686 | 2013-05-01 |
| 1710253109 | Legacy Salmon Creek Hospital | Speech-Language Pathologist | 2121 Ne 139th St., Mob A, Ste 200, Vancouver, WA 98686 | 2012-03-29 |
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| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437262094 | Sande Bartels Irwin | Otolaryngology | 203 Se Park Plaza Dr, Suite 140, Vancouver, WA 98684-5886 | 2006-08-17 |
| 1609836840 | Philemon Lynn Anderson | Otolaryngology | 718 Ne 87th Ave Ste 100, Vancouver, WA 98664-1970 | 2006-03-23 |
| 1790745933 | Adam Spach Wilson | Otolaryngology | 1405 Se 164th Ave Ste 102, Vancouver, WA 98683-9644 | 2006-03-23 |
| 1215996038 | David Charles Bloom | Otolaryngology | 2121 Ne 139th Street, Suite 245, Vancouver, WA 98686 | 2006-03-21 |
| 1740660638 | Christoph Michael Prummer | Otolaryngology | 2525 Ne 139th St Ste 220, Vancouver, WA 98686-2719 | 2015-06-04 |
| 1982857298 | Kate Elizabeth Mccarn | Otolaryngology | 501 Se 172nd Ave, Vancouver, WA 98684-9542 | 2008-10-30 |
| 1932316734 | Kelvin A Lindgren | Otolaryngology | 3506 Main St, Vancouver, WA 98663-2224 | 2007-05-17 |
| 1992851455 | Jonathan Edward Zwart | Otolaryngology | 2525 Ne 139th St, Vancouver, WA 98686-2719 | 2007-01-26 |
| 1417042730 | Michael J. Mitchell | Otolaryngology | 1405 Se 164th Ave, Suite 102, Vancouver, WA 98683-9644 | 2006-10-03 |
| 1972528164 | Yu-fang Nancy Liu | Otolaryngology | 700 Ne 87th Ave, Vancouver, WA 98664-1913 | 2006-07-12 |
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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.