Individual provider Active NPI

Mark Everett Smethurst, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Spokane Valley, WA
National Provider Identifier
1083874978
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
MD61532902 Issued in WA
Practice address
13103 E Mansfield Ave
Spokane Valley, WA 99216-1642
Phone
(509) 892-2700
Fax
(509) 892-2740
NPI assigned
Jun 13, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Neuropathology Physician 207ZN0500X 7461370 ID
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 226337 AK
Neuropathology Physician 207ZN0500X MEDPHYSLIC142204 MT
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 249260 NY
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 7461370 ID
Neuropathology Physician 207ZN0500X MD61532902 WA
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X MD61532902 WA Primary
Neuropathology Physician 207ZN0500X 226337 AK
Neuropathology Physician 207ZN0500X 249260 NY
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X MEDPHYSLIC142204 MT

Addresses

Primary practice location

13103 E Mansfield Ave
Spokane Valley, WA 99216-1642

Mailing address

PO Box 3405
Spokane, WA 99220-3405
Phone (509) 892-2700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PR, WA, ID4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20190820003173 NY Practitioner - Pathology 7719137819 Reassigns benefits to 1 organization
I20200608002039 PR Practitioner - Pathology 7719137819 Reassigns benefits to 1 organization
I20240814003654 WA Practitioner - Pathology 7719137819 Reassigns benefits to 1 organization
I20241004003144 ID Practitioner - Pathology 7719137819 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
State University of Ny Upstate Medical University, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amboy Medical Practice PCGroup PAC ID 2860538170, 171 clinicians

Practice addresses (Care Compare)

355 Bard Ave
Staten Island, NY 10310-1664
Phone (718) 818-1234

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
73.29 of 100Reported as group
Quality
68.58
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
226337AKMDNeuropathology Physician
MD61532902WAMDNeuropathology Physician
7461370IDMDAnatomic Pathology & Clinical Pathology Physician
MEDPHYSLIC142204MTMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Pathology Services, Inc. CurrentSince Apr 22, 2020 Accepting new patients
Southern Pathology Services, Inc. CurrentSince Apr 22, 2020 Accepting new patients
Incyte Pathology, PLLC Anatomic Pathology & Clinical Pathology CurrentSince Sep 1, 2024 Accepting new patients
Amboy Medical Practice PC CurrentSince Dec 8, 2025 Accepting new patients
Amboy Medical Practice PC CurrentSince Dec 8, 2025 Accepting new patients

Locations

2003 Kootenai Health Way
Coeur D Alene, ID 83814
Phone (208) 625-5085

500 W Broadway St
Missoula, MT 59802
Phone (406) 327-1918

4434 Amboy Rd
Staten Island, NY 10312
Phone (718) 818-1015

355 Bard Ave
Staten Island, NY 10310
Phone (718) 818-1380

221 Wellsian Way
Richland, WA 99352
Phone (503) 341-9352

13103 E Mansfield Ave
Spokane Valley, WA 99216

15912 E Marietta Ave
Spokane Valley, WA 99216

2811 S 102nd St
Ste 170
Tukwila, WA 98168
Phone (425) 646-0922

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1083874978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3405",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992203405",
            "telephone_number": "509-892-2700",
            "fax_number": "509-892-2740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13103 E MANSFIELD AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992161642",
            "telephone_number": "509-892-2700",
            "fax_number": "509-892-2740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMETHURST",
        "first_name": "MARK",
        "middle_name": "EVERETT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-13",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZN0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Neuropathology",
            "state": "ID",
            "license": "7461370",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "AK",
            "license": "226337",
            "primary": false
        },
        {
            "code": "207ZN0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Neuropathology",
            "state": "MT",
            "license": "MEDPHYSLIC142204",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NY",
            "license": "249260",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "ID",
            "license": "7461370",
            "primary": false
        },
        {
            "code": "207ZN0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Neuropathology",
            "state": "WA",
            "license": "MD61532902",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "WA",
            "license": "MD61532902",
            "primary": true
        },
        {
            "code": "207ZN0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Neuropathology",
            "state": "AK",
            "license": "226337",
            "primary": false
        },
        {
            "code": "207ZN0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Neuropathology",
            "state": "NY",
            "license": "249260",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MT",
            "license": "MEDPHYSLIC142204",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

Verify at the official NPI Registry.