MARK R MARIANI (NPI# 1972581114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972581114 |
Entity Type | Individual |
Full Name | MARK R MARIANI |
Credential | M.D. |
Practice Address |
3124 S 19th St Tacoma WA 98405-2433 |
Practice Telephone | 2534597000 |
Mailing Telephone | 2534597000 |
Enumeration Date | 2006-01-06 |
Last Update Date | 2011-03-30 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | MD00046384 | WA | Allopathic & Osteopathic Physicians |
N | 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | A85025 | CA | Allopathic & Osteopathic Physicians |
N | 207Q00000X | Family Medicine | MD00046384 | WA | Allopathic & Osteopathic Physicians |
N | 207Q00000X | Family Medicine | A85025 | CA | Allopathic & Osteopathic Physicians |
Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
MD00046384 | WA | Allopathic & Osteopathic Physicians |
N | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
A85025 | CA | Allopathic & Osteopathic Physicians |
N | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
MD00046384 | WA | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174978357 | Mark Mariani | Physician Assistant | 1820 E Commercial Blvd, Fort Lauderdale, FL 33308-3725 | 2016-04-26 |
Street Address |
3124 S 19TH ST |
City | TACOMA |
State | WA |
Zip Code | 98405-2433 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407848559 | Mark Schomogyi | Internal Medicine | 3124 S 19th St, Ste 240, Tacoma, WA 98405-2433 | 2005-08-16 |
1083052583 | Kimberley Ann Marin | Nurse Practitioner | 3124 S 19th St, Ste 340, Tacoma, WA 98405-2433 | 2013-06-06 |
1699066530 | Hossein Pakzad Sedigh | Orthopaedic Surgery | 3124 S 19th St, Ste 340, Tacoma, WA 98405-2433 | 2011-04-26 |
1790004844 | Catherine Grace Engibous Holder | Physician Assistant | 3124 S 19th St, Tacoma, WA 98405-2433 | 2010-05-27 |
1407017510 | Lili Yao | Internal Medicine | 3124 S 19th St, Tacoma, WA 98405-2433 | 2008-06-20 |
1033305826 | Deo Samson Macabio Perez | Physician Assistant | 3124 S 19th St, Suite 320, Tacoma, WA 98405-2433 | 2007-09-14 |
1013117803 | Jesse Lee Mierzwiak | Urology | 3124 S 19th St, Ste 320, Tacoma, WA 98405-2433 | 2007-07-20 |
1750582235 | Bobby Anthony Stevens | Surgery | 3124 S 19th St, Ste C220, Tacoma, WA 98405-2433 | 2007-05-30 |
1386709384 | Viet H Nguyen | Registered Nurse | 3124 S 19th St, Ste 140, Tacoma, WA 98405-2433 | 2006-12-27 |
1538241930 | John Anthony Vaccaro | Urology | 3124 S 19th St, Ste 320, Tacoma, WA 98405-2433 | 2006-10-19 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609486026 | Joanna Christine Hope | Physician Assistant | 2502 S Union Avenue, Tacoma, WA 98405 | 2020-08-01 |
1467077891 | Richard Jimenez | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way Suite #310, Tacoma, WA 98405 | 2020-06-11 |
1669008785 | Mariana Sanchez Corona | Behavior Technician | 1901 S Union Ave Allenmore Building B, Tacoma, WA 98405 | 2020-03-20 |
1811534845 | Jasmine Gregory | Social Worker | 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 | 2019-12-10 |
1548807506 | Holly Rebecca Brezynski | Student in an Organized Health Care Education/Training Program | Fresenius Kindney Care - Home Therapies Department, 1717 South J Street, Tacoma, WA 98405 | 2019-12-09 |
1972064392 | Logan Brau | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way, Tacoma, WA 98405 | 2019-03-28 |
1629532536 | Preferred Orthotic and Prosthetic Services Inc | Prosthetic/Orthotic Supplier | 1708 Yakima Ave Ste 60, Tacoma, WA 98405 | 2019-01-24 |
1669945911 | Heidi Weakley | Counselor | 1001 S Yakima Ave, Suite 5, Tacoma, WA 98405 | 2019-01-09 |
1972074011 | Taviance Benet Laster | Behavior Technician | 1416 S 9th St, Tacoma, WA 98405 | 2018-12-16 |
1336618040 | Bailey Bangerter | Physician Assistant | 1901 South Union, A-233, Tacoma, WA 98405 | 2018-11-26 |
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Taxonomy Code | 207QS0010X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Sports Medicine |
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518163542 | Devin Patrick Mcfadden | Family Medicine | 9040 Jackson Ave, Tacoma, WA 98431-5901 | 2007-06-26 |
1457552770 | Betteridge & Mcnaughton P S Inc | Family Medicine | 3733 S Thompson Ave, Tacoma, WA 98418-5013 | 2007-05-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326565110 | Family Care Network, Pllc | Family Medicine | 3130 Squalicum Pkwy Ste 110, Bellingham, WA 98225-1940 | 2017-08-23 |
1578682100 | Robert Stewart Nicol | Family Medicine | 23512 Ne 206th St, Battle Ground, WA 98604-9699 | 2007-03-28 |
1912033663 | Richard Terril Jacobs | Family Medicine | 1351 Fowler St, Richland, WA 99352-4714 | 2007-02-26 |
1821132481 | James E Hult | Family Medicine | 800 N 5th Ave # 101, Sequim, WA 98382-3045 | 2007-02-16 |
1598874430 | Patrick Z Pearce | Family Medicine | 730 N Hamilton St, Spokane, WA 99202-2045 | 2006-08-30 |
1265450514 | Lawrence J Greenblatt X | Family Medicine | 1407 116th Ave Ne Ste 102, Bellevue, WA 98004-3819 | 2006-07-17 |
1649211764 | Mark David Wagner | Family Medicine | 1000 Dexter Ave N Ste 320, Seattle, WA 98109-4878 | 2006-06-09 |
1528015229 | Public Hospital District #1 of King County | Family Medicine | 3600 Lind Ave Sw, Suite 170, Renton, WA 98055-4934 | 2006-05-28 |
1063486074 | Warren Billings Howe | Family Medicine | 516 High St, Wwu Student Health (ms-9132), Bellingham, WA 98225-5946 | 2006-02-15 |
1588280804 | Rainier Family and Sports Medicine P C | Family Medicine | 16202 64th St E Ste 104, Sumner, WA 98390-3028 | 2020-06-23 |
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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.