MARK S MATHEWS (NPI# 1801839725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801839725 |
| Entity Type | Individual |
| Full Name | MARK S MATHEWS |
| Credential | P.A. |
| Practice Address |
700 Sleater Kinney Rd Se Pmb 254 Lacey WA 98503-1150 |
| Mailing Address |
700 Sleater Kinney Rd Se Pmb 254 Lacey WA 98503-1113 |
| Practice Telephone | 3604268398 |
| Practice Fax Number | 3604260413 |
| Mailing Telephone | 3604268398 |
| Mailing Fax Number | 3604260413 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA1002175 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376500231 | Mark A. Mathews | Optometrist | 218 S. Front St, Fremont, OH 43420 | 2006-04-26 |
| 1881656072 | Mark F Mathews | Dentist | 1205 Meadow Bridge Dr., Beevercreek, OH 45434 | 2006-04-04 |
| 1750981957 | Mark Mathews | Pharmacist | 124 N Bridge St, Henrietta, TX 76365-2804 | 2020-10-27 |
| 1275560435 | Mark W Mathews | Optometrist | 8319 Embassy Blvd, Port Richey, FL 34668 | 2006-06-26 |
| 1386612513 | Mark R Mathews | Anesthesiology | 1850 N Central Ave, Suite 1600, Phoenix, AZ 85004-4527 | 2006-03-14 |
| 1619953395 | Mark A Mathews | Anesthesiology | 4700 Las Vegas Blvd N, Mike O'callaghan Federal Hospital, Nellis Afb, NV 89191-6600 | 2005-12-15 |
| Street Address |
700 SLEATER KINNEY RD SE PMB 254 |
| City | LACEY |
| State | WA |
| Zip Code | 98503-1150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699712240 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 700 Sleater Kinney Rd Se, Suite B, Lacey, WA 98503-1150 | 2006-06-01 |
| 1447725064 | Hoang Vy Ha | Optometrist | 700 Sleater Kinney Rd Se, Lacey, WA 98503 | 2018-10-10 |
| 1447775978 | Benjamin Jacob Harrietha | Pharmacist | 700 Sleater Kinney Rd Se, Lacey, WA 98503-1150 | 2017-08-05 |
| 1801205398 | Brittany T Dodge | Pharmacist | 700 Sleater Kinney Rd Se, Lacey, WA 98503-1150 | 2014-08-08 |
| 1215285556 | Craig William Shelley | Pharmacist | 700 Sleater Kinney Rd Se, Lacey, WA 98503-1150 | 2012-08-16 |
| 1811260912 | Vijay Kaza | Pharmacist | 700 Sleater Kinney Rd Se, Pharmacy, Lacey, WA 98503-1150 | 2012-02-21 |
| 1700098050 | Max Kenneth Archer | Optometrist | 700 Sleater Kinney Rd Se, Suite 1, Lacey, WA 98503-1150 | 2007-05-07 |
| 1396968913 | Gary Buhrmester Mattix | Technician/Technologist | 700 Sleater Kinney Rd Se, Suite E, Lacey, WA 98503-1113 | 2007-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457838989 | Michele Nordgren Bourque | Psychologist | 4329 Concordia Lane Se, Lacey, WA 98503 | 2018-07-26 |
| 1831638675 | Trevor John Marum | Chiropractor | 3945 8th Ave Se, Lacey, WA 98503 | 2017-02-13 |
| 1366993362 | Vanessa Julie Iglesias Mehta | Physician Assistant | 5128 Yelm Hwy Se, Suite E, Lacey, WA 98503 | 2016-10-14 |
| 1144683616 | Millenda Thomas | Registered Nurse | 1233 Firpark Dr. S.e., Lacey, WA 98503 | 2016-04-01 |
| 1609257245 | Erika Charlotte Vonkotzebue | Counselor | 4401 37th Ave. Se #25, Lacey, WA 98503 | 2015-06-09 |
| 1437576196 | Candy Nelson | Registered Nurse | 4410 6th Ave Se, Apt# 115, Lacy, WA 98503 | 2014-03-19 |
| 1134563919 | Alvin Fitzgerald | Pharmacist | 665 Sleater Kinney Rd., S.e, Target Pharmacy #1355, Lacey, WA 98503 | 2013-04-23 |
| 1518200724 | Katherine Mary Marsh | Psychologist | 5191 Corporate Center Court Se, Lacey, WA 98503 | 2013-04-05 |
| 1740530906 | Leanna Marie Mcbroom | Massage Therapist | 1608 Diamond Loop Se, Lacey, WA 98503 | 2012-09-14 |
| 1831445196 | Joyce Emily Christensen Coniff | Counselor | 5706 39th Ave Se., Lacey, WA 98503 | 2012-07-24 |
| Find all providers in zip 98503 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568816528 | Stacy L Manroe | Physician Assistant | 3897 Cameron Dr Ne, Lacey, WA 98516-3888 | 2016-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780153536 | Patricia Dorian | Physician Assistant | 2950 Squalicum Pkwy Ste B, Bellingham, WA 98225-1857 | 2018-11-21 |
| 1851875561 | Sarah Gene Soloff | Physician Assistant | 9730 3rd Ave Ne Ste 201, Seattle, WA 98115-2023 | 2018-09-18 |
| 1104308394 | Johnny Thanh Nguyen | Physician Assistant | 1135 116th Ave Ne Ste 605, Bellevue, WA 98004-4697 | 2018-09-04 |
| 1558843201 | Stefanie Eller | Physician Assistant | 532 Cedar Wood Ln, Wenatchee, WA 98801-2476 | 2018-08-29 |
| 1861987992 | Lillian Baldwin Bourret | Physician Assistant | 6317 Linden Ave N, Seattle, WA 98103-5658 | 2018-07-01 |
| 1417446758 | Janelle Elizabeth Becker | Physician Assistant | 11511 Canterwood Blvd Nw Ste 205, Gig Harbor, WA 98332 | 2018-05-02 |
| 1982058418 | Ray Johnson | Physician Assistant | 4446 88th Ave Se, Mercer Island, WA 98040 | 2016-04-21 |
| 1073990651 | Laura Skanse | Physician Assistant | 12303 Ne 130th Ln #500, Kirkland, WA 98034 | 2015-05-02 |
| 1104231893 | Amber Elaine Deck | Physician Assistant | 20307 67th Ave E, Spanaway, WA 98387-5600 | 2014-06-22 |
| 1043535024 | Pamela Baird | Physician Assistant | 2016 16th Ave East, Seattle, WA 98112-5260 | 2010-04-01 |
| 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.