Individual provider Active NPI

Mark Francis Macfarlan, MD

  • Family Medicine Physician
  • Kennewick, WA
National Provider Identifier
1114007614
Registry record updated Jun 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00039122 Issued in WA
Practice address
7525 W Deschutes PL Ste 1a
Kennewick, WA 99336-7748
Phone
(509) 737-8885
Fax
(509) 737-8887
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD00039122 WA Primary

Addresses

Primary practice location

7525 W Deschutes PL Ste 1a
Kennewick, WA 99336-7748

Mailing address

PO Box 4135
Pasco, WA 99302-4135

Other identifiers 1

IdentifierTypeStateIssuer
1119791MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040427001117 WA Practitioner - Family Practice 0648267120 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Baylor College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6208 W Argent Rd
Pasco, WA 99301-1987
Phone (509) 737-8885

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD00039122WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cam Medical Family Medicine CurrentSince Jun 14, 2004 Accepting new patients
Kennewick Public Hospital District Past Accepting new patients

Locations

7525 W Deschutes Pl
Ste 1A
Kennewick, WA 99336
Phone (509) 737-8766

7525 W Deschutes Pl
Kennewick, WA 99336
Phone (503) 542-0310

9915 Sandifur Pkwy
Pasco, WA 99301
Phone (509) 546-2222

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372032000000",
    "number": "1114007614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4135",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993024135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7525 W DESCHUTES PL STE 1A",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367748",
            "telephone_number": "509-737-8885",
            "fax_number": "509-737-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACFARLAN",
        "first_name": "MARK",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2013-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00039122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1119791",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

Verify at the official NPI Registry.