Active NPI
Mark S Cichowski, MD
- Specialist
- Coupeville, WA
National Provider Identifier
1184621146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MD00020388
- Practice address
- 109 NE Birch St
Coupeville, WA 98239 - Phone
- (360) 678-2020
- Fax
- (360) 678-6228
- NPI assigned
- Jul 6, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Specialist | 174400000X | MD00020388 | WA | Primary |
Addresses
Primary practice location
109 NE Birch St
Coupeville, WA 98239
Mailing address
PO Box 1227
Coupeville, WA 98239-1227
Phone (360) 678-2020
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 |
|---|---|---|---|
| MD00020388 | WA | MD | Specialist |
| 025209 | WA | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202688000000",
"number": "1184621146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1227",
"city": "COUPEVILLE",
"state": "WA",
"postal_code": "982391227",
"telephone_number": "360-678-2020",
"fax_number": "360-678-6228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 NE BIRCH ST",
"city": "COUPEVILLE",
"state": "WA",
"postal_code": "98239",
"telephone_number": "360-678-2020",
"fax_number": "360-678-6228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CICHOWSKI",
"first_name": "MARK",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-06",
"last_updated": "2008-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "MD00020388",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coupeville, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.