DR. MARK D. PAPENHAUSEN (NPI# 1740268325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740268325 |
| Entity Type | Individual |
| Full Name | DR. MARK D. PAPENHAUSEN |
| Credential | MD |
| Practice Address |
3216 Norton Ave Suite 201 Everett WA 98201-4290 |
| Mailing Address |
728 134th St Sw Suite 120 Everett WA 98204-5322 |
| Practice Telephone | 4252584624 |
| Mailing Telephone | 4252976200 |
| Mailing Fax Number | 4252976250 |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2010-11-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
MD00045479 | WA | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | MD00045479 | WA | Allopathic & Osteopathic Physicians |
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
MD00045479 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | L&I PROVIDER NUMBER | 200111 | 01 |
| Street Address |
3216 NORTON AVE SUITE 201 |
| City | EVERETT |
| State | WA |
| Zip Code | 98201-4290 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417499575 | Proliance Surgeons, Inc., P.s. | Physical Medicine & Rehabilitation | 3216 Norton Ave, Suite 101, Everett, WA 98201-4290 | 2016-11-07 |
| 1073753661 | Matthew Nathan Ashbach | Otolaryngology | 3216 Norton Ave, Suite 102, Everett, WA 98201-4290 | 2009-02-23 |
| 1891943221 | Samantha Jane Quade | Surgery | 3216 Norton Ave, Ste 202, Everett, WA 98201-4290 | 2008-08-27 |
| 1316158736 | Sarah B. Asher | Physician Assistant | 3216 Norton Ave, Ste 202, Everett, WA 98201-4290 | 2007-05-25 |
| 1255459640 | Roger Hou-chih Chen | Dentist | 3216 Norton Ave, Everett, WA 98201-4290 | 2007-03-26 |
| 1932266038 | Sangchi Tang | Dentist | 3216 Norton Ave, Everett, WA 98201-4290 | 2007-01-02 |
| 1902960727 | Sooik Park | Dentist | 3216 Norton Ave, Everett, WA 98201-4290 | 2006-12-19 |
| 1568537645 | Marshall Henry Titus | Dentist | 3216 Norton Ave, Everett, WA 98201-4290 | 2006-11-22 |
| 1003993890 | Rehabilitation, Sports & Spine Center, P.s. | Specialist | 3216 Norton Ave, Suite 101, Everett, WA 98201-4290 | 2006-11-01 |
| 1114038437 | Katherine Ione Moreno | Surgery | 3216 Norton Ave, Ste 202, Everett, WA 98201-4290 | 2006-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306471867 | Shannon Michelle Dewald | Registered Nurse | D8s 1700 13th St, Everett, WA 98201 | 2020-03-05 |
| 1578123113 | Precious Medicial Spa, LLC | Registered Nurse | 1728 W. Marine View Dr Suite 212, Everett, WA 98201 | 2019-06-17 |
| 1508429796 | Alix Deschain | Counselor | 2801 Broadway, Everett, WA 98201 | 2019-04-15 |
| 1811457534 | Khushboo Patel | Pharmacist | 1330 Rockefeller Ave Ste 150, Everett, WA 98201 | 2019-03-20 |
| 1164991188 | Grace Talbot Davis | Registered Nurse | 2601 Summit Avenue, Bldg. C, Everett, WA 98201 | 2018-11-20 |
| 1063924603 | Tracy Sisk | Counselor | 3120 Colby Ave, 502, Everett, WA 98201 | 2017-11-03 |
| 1710403126 | Michelle Durham | Counselor | 3322 Boadway Fl 2, Everett, WA 98201 | 2017-08-17 |
| 1861927949 | Melanie Schmidt | Counselor | 2610 Westmore Ave, Everett, WA 98201 | 2017-04-26 |
| 1518413327 | Joseph Madson Dmd Pllc | Clinic/Center | 3802 Colby Ave, 4th Floor, Everett, WA 98201 | 2016-08-31 |
| 1043683162 | Jennifer Adams | Counselor | 1511 26th St, Everett, WA 98201 | 2015-11-11 |
| Find all providers in zip 98201 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497975361 | Rolando I Celis Valdiviezo | Surgery | 1330 Rockefeller Ave Ste 520, Everett, WA 98201 | 2007-04-26 |
| 1396894879 | Anthony J. Roon | Surgery | 1001 N Broadway Ste A3, Everett, WA 98201-1585 | 2007-01-10 |
| 1457338451 | Philip D. Feliciano | Surgery | 1321 Colby Avenue, Providence Everett Medical Center, Everett, WA 98206 | 2005-12-30 |
| 1184664625 | David E Mullane | Surgery | 512 Broadway, Suite 2, Everett, MA 02149-3738 | 2006-06-06 |
| 1720066616 | William Burley Mcintyre | Surgery | 1321 Colby Ave, Providence Everett Medical Center, Everett, WA 98201-1665 | 2006-01-03 |
| 1649257692 | Robert D. Defrang | Surgery | 1330 Rockefeller Ave, Ste 520, Everett, WA 98201-1684 | 2005-12-29 |
| 1255318317 | James M. Cook Jr. | Surgery | 1330 Rockefeller Ave, Ste 520, Everett, WA 98201-1684 | 2005-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710496922 | Sunnyside Community Hospital Association | Surgery | 1005 W Walnut St Ste 201, Yakima, WA 98902-3384 | 2017-09-20 |
| 1750762415 | Anna Ohlsson | Surgery | 325 9th Ave # 359908, Seattle, WA 98104-2420 | 2015-06-17 |
| 1356722938 | Usa Vascular Centers of Kent Pllc | Surgery | 26124a Pacific Hwy S Ste A, Kent, WA 98032-6910 | 2015-06-09 |
| 1154602084 | Memorial Physicians, Pllc | Surgery | 1812 E Edison Ave, Sunnyside, WA 98944-1653 | 2011-09-06 |
| 1528387941 | Sara Jane Wasilenko | Surgery | 128 Lilly Rd Ne Ste 205, Olympia, WA 98506-7400 | 2010-05-25 |
| 1801051404 | Franciscan Medical Group | Surgery | 710 S 348th St, Ste A, Federal Way, WA 98003-7042 | 2008-07-23 |
| 1013104165 | John S Arthur | Surgery | 2528 Wheaton Way Ste 101, Bremerton, WA 98310-3305 | 2007-10-02 |
| 1891986097 | Vascular Associates, Ps | Surgery | 801 Broadway Ste 522, Seattle, WA 98122-4325 | 2007-08-05 |
| 1447464730 | Mai Thanh Pham | Surgery | 1229 Madison St Suite # 1190, Seattle, WA 98104 | 2007-05-09 |
| 1649491481 | Dae Young Lee | Surgery | 1100 Goethals Drive 3rd Floor, Kadlec Clinic Vascular Surgery, Richland, WA 99352-3304 | 2007-05-01 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. MARK D. PAPENHAUSEN.
| 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.