MARK MORISHIGE (NPI# 1619197639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619197639 |
| Entity Type | Individual |
| Full Name | MARK MORISHIGE |
| Credential | MD |
| Practice Address |
1900 Cooks Hill Rd Centralia WA 98531-9073 |
| Practice Telephone | 3607362889 |
| Practice Fax Number | 3607363136 |
| Mailing Telephone | 3607362889 |
| Mailing Fax Number | 3607363136 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2019-09-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 64840 | MN | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | 38793 | IA | Allopathic & Osteopathic Physicians |
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
38793 | IA | Allopathic & Osteopathic Physicians |
| Street Address |
1900 COOKS HILL RD |
| City | CENTRALIA |
| State | WA |
| Zip Code | 98531-9073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710937305 | Heather Cushing | Physician Assistant | 1900 Cooks Hill Rd, Centralia, WA 98531-9073 | 2006-05-12 |
| 1285143933 | Lukas Wesley Steffan | Physician Assistant | 1900 Cooks Hill Rd, Centralia, WA 98531-9073 | 2017-09-26 |
| 1417496183 | Jessica Kathleen Hannigan | Physician Assistant | 1900 Cooks Hill Rd, Centralia, WA 98531-9073 | 2017-02-14 |
| 1417378621 | Christopher Huntley | Physician Assistant | 1900 Cooks Hill Rd, Centralia, WA 98531 | 2013-12-16 |
| 1992059323 | Jessica Morss | Physical Therapist | 1900 Cooks Hill Rd, Centralia, WA 98531-9073 | 2012-11-07 |
| 1649534751 | Lacey Elizabeth Ross | Physical Therapist | 1900 Cooks Hill Rd, Centralia, WA 98531-9073 | 2012-07-03 |
| 1336424092 | Christine Michele Caple | Physical Therapy Assistant | 1900 Cooks Hill Rd, Centralia, WA 98531-9073 | 2011-10-13 |
| 1083911895 | Nancy Marie Emerick | Physical Therapist | 1900 Cooks Hill Rd, Centralia, WA 98531 | 2011-02-15 |
| 1245542778 | Jessica Elder | Specialist/Technologist | 1900 Cooks Hill Rd, Centralia, WA 98531-9073 | 2010-07-13 |
| 1295056455 | Daniel J Albershardt | Anesthesiology | 1900 Cooks Hill Rd, Centralia, WA 98531-9073 | 2010-06-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306462205 | Jelisa Renae Thomas | Counselor | 3510 Steelhammer Ln, Centralia, WA 98531 | 2020-06-17 |
| 1205498607 | Jennifer Kristine Mcglynn Paterno | Counselor | 2428 W. Reynods Ave, Centralia, WA 98531 | 2019-07-05 |
| 1538646328 | Adam Jeffrey Moore | Counselor | 3510 Steelhammer Lane, Centralia, WA 98531 | 2018-07-24 |
| 1144706698 | Euijeong Kim | Occupational Therapist | Rehabilitation Therapies, 914 S. Scheuber Rd, Centralia, WA 98531 | 2018-07-18 |
| 1104315266 | Margaret Fowler Floyd | Registered Nurse | Centralia High School, 813 Eshom Road, Centralia, WA 98531 | 2018-05-04 |
| 1124545777 | Samantha Michelle Moody | Speech-Language Pathologist | Centralia School District, 2320 Borst Ave, Centralia, WA 98531 | 2017-08-24 |
| 1821520289 | Alexa Franks | Behavior Technician | 2428 West Reynolds Ave., Centralia, WA 98531 | 2017-04-03 |
| 1023559861 | Brandy Michelle Peterson | Counselor | 135 W. Main Steet, Centralia, WA 98531 | 2017-03-13 |
| 1841738812 | Graceful Healing Naturopathic | Naturopath | 219 N Tower Ave, Suite 304, Centralia, WA 98531 | 2017-02-09 |
| 1043681513 | Angela Naillon | Counselor | 2428 West Reynolds, Centralia, WA 98531 | 2015-10-09 |
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| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932432143 | Orthopaedic Center of Southern Illinois, Ltd. | Orthopaedic Surgery | 1007 M L King Dr Ste 3, Centralia, IL 62801-3001 | 2009-09-08 |
| 1487618351 | Narendra Kumar Gupta | Orthopaedic Surgery | 1054 Martin Luther King Drive, Suite 125, Centralia, IL 62801 | 2006-04-17 |
| 1639492994 | James B. Stiehl, Md, PC | Orthopaedic Surgery | 1054 Martin Luther King Dr, Suite 226, Centralia, IL 62801-3000 | 2010-03-01 |
| 1144332339 | Scott C Slattery | Orthopaedic Surgery | 1900 Cooks Hill Rd, Centralia, WA 98531-9073 | 2006-08-31 |
| 1689786873 | Justin J Sherfey | Orthopaedic Surgery | 1900 Cooks Hill Rd, Centralia, WA 98531-9073 | 2006-08-31 |
| 1083726269 | Keith V Anderson | Orthopaedic Surgery | 1900 Cooks Hill Rd, Centralia, WA 98531-9073 | 2006-08-31 |
| 1164534350 | Keith R Birchard | Orthopaedic Surgery | 1900 Cooks Hill Rd, Centralia, WA 98531-9073 | 2006-08-31 |
| 1689787103 | Washington Orthopaedic Center, Inc., Ps | Orthopaedic Surgery | 1900 Cooks Hill Rd, Centralia, WA 98531-9073 | 2006-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902418189 | Proliance Surgeons, Inc., P.s. | Orthopaedic Surgery | 2727 Hollycroft St Ste 410, Gig Harbor, WA 98335-1369 | 2020-08-19 |
| 1962968628 | Zachary Erin Schwartz | Orthopaedic Surgery | 9040 Fitzsimmons Drive- Orthopaedic Surgery, Joint Base Lewis Mcchord, WA 98431-1000 | 2019-02-18 |
| 1184106262 | Proliance Surgeons, Inc., P.s. | Orthopaedic Surgery | 18100 Ne Union Hill Rd Ste 330, Redmond, WA 98052-3330 | 2018-09-05 |
| 1356827828 | Seattle Spine Group, Pllc | Orthopaedic Surgery | 1220 116th Ave Ne Ste 102, Bellevue, WA 98004 | 2018-07-17 |
| 1184137770 | Walter Franklin Krengel Jr. | Orthopaedic Surgery | 2000 1st Ave Suite 2201, Seattle, WA 98122 | 2017-11-06 |
| 1821443383 | Chelan County Public Hospital District No 2 | Orthopaedic Surgery | 505 B State, Route 20, Winthrop, WA 98862 | 2016-05-03 |
| 1609254747 | William M Fallon | Orthopaedic Surgery | 3990 Saltspring Dr, Ferndale, WA 98248-9598 | 2015-05-08 |
| 1528470861 | Richard Dean Thorson | Orthopaedic Surgery | 719 S. Laurel St, Olympic Chiropractic, Port Angels, WA 98362 | 2014-05-21 |
| 1740600840 | Peters T. Otlans | Orthopaedic Surgery | 16259 Sylvester Rd Sw Ste 501, Burien, WA 98166-3059 | 2014-04-16 |
| 1912324559 | Floyd Sekeramayi | Orthopaedic Surgery | 630 N Fairview Dr, Tacoma, WA 98406-1015 | 2014-03-20 |
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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.