DR. MARK W AN (NPI# 1437200854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437200854 |
| Entity Type | Individual |
| Full Name | DR. MARK W AN |
| Credential | D.D.S. |
| Practice Address |
11811 Mukilteo Speedway Suite 102 Mukilteo WA 98275-5442 |
| Practice Telephone | 4252679900 |
| Practice Fax Number | 4252679901 |
| Mailing Telephone | 4252679900 |
| Mailing Fax Number | 4252679901 |
| Enumeration Date | 2007-01-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DE00010456 | WA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 5050968 | 05 |
| Street Address |
11811 MUKILTEO SPEEDWAY SUITE 102 |
| City | MUKILTEO |
| State | WA |
| Zip Code | 98275-5442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659447639 | Judy A Rybak | Specialist | 11811 Mukilteo Speedway, Suite 105, Mukilteo, WA 98275-5442 | 2006-11-28 |
| 1497289995 | Tiffany Latshaw | Massage Therapist | 11811 Mukilteo Speedway, #200, Mukilteo, WA 98275-5442 | 2017-04-12 |
| 1104362920 | Molly Ulrich | Massage Therapist | 11811 Mukilteo Speedway, Unit 200, Mukilteo, WA 98275-5442 | 2017-01-18 |
| 1154879534 | Marena Ormston | Massage Therapist | 11811 Mukilteo Speedway, #200, Mukilteo, WA 98275-5442 | 2016-09-14 |
| 1942685052 | Be Well Massage Therapy | Preferred Provider Organization | 11811 Mukilteo Speedway, #200, Mukilteo, WA 98275-5442 | 2015-07-30 |
| 1497177539 | Robert Arkills | Massage Therapist | 11811 Mukilteo Speedway, # 200, Mukilteo, WA 98275-5442 | 2014-01-08 |
| 1073940391 | Be Well Massage Therapy, LLC | Massage Therapist | 11811 Mukilteo Speedway, Suite 200, Mukilteo, WA 98275-5442 | 2013-10-01 |
| 1912253360 | Shannon Michelle Peterson | Massage Therapist | 11811 Mukilteo Speedway, 200, Mukilteo, WA 98275-5442 | 2012-08-02 |
| 1144505363 | Christopher Matthew Walling | Massage Therapist | 11811 Mukilteo Speedway, 200, Mukilteo, WA 98275-5442 | 2011-10-19 |
| 1164697371 | Kevin Scott Bean | Massage Therapist | 11811 Mukilteo Speedway, Suite 200, Mukilteo, WA 98275-5442 | 2008-04-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477030245 | Brandon Eugene Moore | Social Worker | 12303 Cyrus Way, Suite 107, Mukilteo, WA 98275 | 2018-07-25 |
| 1407349962 | Cascade Endocrinology Pllc | Internal Medicine | 8423 Mukilteo Spdwy Ste 102, Mukilteo, WA 98275 | 2018-06-10 |
| 1780059899 | Jamie Kowatch | Dietitian, Registered | 8423 Mukilteo Speedway Ste 102, Mukilteo, WA 98275 | 2015-12-01 |
| 1225479025 | Helen Ra | Pharmacist | 5600 Harbour Pointe Blvd., Unit 1-105, Mukilteo, WA 98275 | 2013-07-10 |
| 1861731333 | Lynn Sharon Schmidt | Physical Therapist | 10520 Harbour Pointe Blvd, Columbia Elementary School - Msd #6, Mukilteo, WA 98275 | 2013-02-04 |
| 1023318326 | Hillary E Hofstaedter | Registered Nurse | 10710 Mukilteo Speedway # 67, Mukilteo, WA 98275 | 2010-11-02 |
| 1528371416 | Zita Molnar Fekete | Counselor | 4460 73rd Pl Sw, Mukilteo, WA 98275 | 2010-07-20 |
| 1497900609 | Heidi S. Rendall | Family Medicine | 8227 44th Ave W., Ste E, Mukilteo, WA 98275 | 2008-12-02 |
| 1558583609 | Ana B Rountree | Physician Assistant | 10710 Mukilteo Spdwy, Mukilteo, WA 98275 | 2007-05-02 |
| 1376769752 | Wahid Elbahr | Dentist | 12121 Harbour Reach Dr., Ste 210, Mukilteo, WA 98275 | 2007-04-17 |
| Find all providers in zip 98275 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447731013 | Isabella Amar | Dentist | 12502 Mukilteo Speedway Ste 108, Mukilteo, WA 98275-5730 | 2018-08-22 |
| 1144426115 | Robert A Trosvig | Dentist | 9800 Harbour Pl, #203, Mukilteo, WA 98275-4749 | 2007-06-26 |
| 1669695904 | Stacey C. Sype | Dentist | 4901 81st Place Sw, Mukilteo, WA 98275-2619 | 2007-04-11 |
| 1407079841 | Kathryn T Onishi | Dentist | 9800 Harbour Place, Suite 203, Mukilteo, WA 98275-4749 | 2007-04-11 |
| 1184700486 | Paul S Kahlon | Dentist | 4420 106th St Sw, Mukilteo, WA 98275-4700 | 2006-10-29 |
| 1992896450 | Ping Zhou | Dentist | 12221 Village Center Pl, Suite 207, Mukilteo, WA 98275-6079 | 2006-09-27 |
| 1548373004 | Paul Richard Yetter | Dentist | 8227 44th Ave, Ste A, Mukilteo, WA 98275 | 2006-08-17 |
| 1659300630 | Greg Alan Fjeran | Dentist | 4430 106th St Sw, #101, Mukilteo, WA 98275-4711 | 2006-07-01 |
| 1790736825 | Kristopher Allan Johnson | Dentist | 4407 106th St Sw, Suite A, Mukilteo, WA 98275-4750 | 2006-05-13 |
| 1063491561 | Nhi T Pham | Dentist | 4901 81st Pl Sw, Mukilteo, WA 98275-2619 | 2006-01-12 |
| Find all providers in MUKILTEO | ||||
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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.