Active NPI
Mark R Varga, MD
- Physical Medicine & Rehabilitation Physician
- Spokane, WA
National Provider Identifier
1144206632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 00036941
- Practice address
- 715 S Cowley St
Suite 228
Spokane, WA 99202-1375 - Phone
- (509) 624-9217
- Fax
- (509) 623-2187
- NPI assigned
- Dec 16, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 00036941 | WA | Primary |
Addresses
Primary practice location
715 S Cowley St
Suite 228
Spokane, WA 99202-1375
Mailing address
715 S Cowley St
Suite 228
Spokane, WA 99202-1375
Phone (509) 624-9217
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1106384 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00036941 | WA | MD | Physical Medicine & Rehabilitation Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338940800000",
"number": "1144206632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "715 S COWLEY ST",
"address_2": "SUITE 228",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992021375",
"telephone_number": "509-624-9217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 S COWLEY ST",
"address_2": "SUITE 228",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992021375",
"telephone_number": "509-624-9217",
"fax_number": "509-623-2187"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARGA",
"first_name": "MARK",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-16",
"last_updated": "2012-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "WA",
"license": "00036941",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1106384",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Spokane, WA
- David Neil Vanos III
- Vantage Elevation C&C (Vantage Elevation Counseling & Consulting PLLC)
- Lukas Wayne Vanvoorhis, PHARMD
- Britney Nichole Vanwinkle, MPH
- Cindy Jovanni Varela
- Cindy Lizeth Vargas Serna
- Mishelle Vargas-Antonio, LMSW
- Jessica Vargas-Fonseca
- Kyle Benton Varner, MD
- Mistie Lee Varner, ARNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.