Active NPI
Marina Zakharova Jansen, MD
- Cardiovascular Disease Physician
- Tacoma, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- MD60722837
- Practice address
- 1802 Yakima Ave Ste 307
Tacoma, WA 98405-5305 - Phone
- (253) 627-1244
- NPI assigned
- May 31, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | MD60722837 | WA | Primary |
Addresses
Primary practice location
1802 Yakima Ave Ste 307
Tacoma, WA 98405-5305
Mailing address
1802 Yakima Ave Ste 307
Tacoma, WA 98405-5305
Phone (253) 627-1244
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 376074 | Other | WA | STATE L&I |
| 2076945 | Medicaid | WA |
Other names 1
- Marina Y Zakharova
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mzakharova246351@fhsce.catholichealth.net | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
11307 Bridgeport Way SW
Lakewood, WA 98499-3024
11315 Bridgeport Way SW
Lakewood, WA 98499-3004
Phone (253) 426-6341
11511 Canterwood Blvd
Gig Harbor, WA 98332-5813
11511 Canterwood Blvd NW
Suite 100
Gig Harbor, WA 98332-5813
Phone (253) 627-1244
11567 Canterwood Blvd NW
Gig Harbor, WA 98332-5812
Phone (253) 426-6341
1450 Battersby Ave
Enumclaw, WA 98022-3634
Phone (253) 426-6341
1455 Battersby Ave
Enumclaw, WA 98022-3634
Phone (253) 426-6341
1717 S J St
Tacoma, WA 98405-4933
Phone (253) 426-6341
1802 Yakima Ave
Tacoma, WA 98405-5305
Phone (253) 627-1244
1812 S J St
Suite 120
Tacoma, WA 98405-4965
Phone (253) 428-2200
34503 9TH Ave S
Federal Way, WA 98003-8726
34515 9TH Ave S
Federal Way, WA 98003-6761
Phone (253) 944-7977
Hospital & facility affiliations
- St Joseph Medical Center
- St Anthony Hospital
- St Clare Hospital
- St Michael Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD60722837 | WA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franciscan Medical Group | Current | Accepting new patients | |
| Franciscan Medical Group | Current | Accepting new patients | |
| Franciscan Medical Group | Past | Accepting new patients |
Locations
34503 9th Ave S
Ste 130
Federal Way, WA 98003
Phone (253) 835-5340
1802 Yakima Ave
Ste 307
Tacoma, WA 98405
Phone (206) 627-1244
1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200
1802 Yakima Ave
Ste 302
Tacoma, WA 98405
Phone (253) 591-6739
Interoperability endpoints
- mzakharova246351@fhsce.catholichealth.net
Organizations & group practices 3
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.
-
- Orthopaedic Surgery Physician
- Silverdale, WA
- NPI 1093165334
-
- Family Medicine Physician
- Tacoma, WA
- NPI 1366539421
-
- Family Medicine Physician
- Gig Harbor, WA
- NPI 1386602555
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Silverdale, WA
- NPI 1518912609
-
- General Acute Care Hospital
- Tacoma, WA
- NPI 1124291117
-
- General Acute Care Hospital
- Gig Harbor, WA
- NPI 1447406699
-
- General Acute Care Hospital
- Tacoma, WA
- NPI 1952309098
-
- General Acute Care Hospital
- Lakewood, WA
- NPI 1689672693
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607040000000",
"number": "1194019877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1802 YAKIMA AVE STE 307",
"city": "TACOMA",
"state": "WA",
"postal_code": "984055305",
"telephone_number": "253-627-1244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1802 YAKIMA AVE STE 307",
"city": "TACOMA",
"state": "WA",
"postal_code": "984055305",
"telephone_number": "253-627-1244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JANSEN",
"first_name": "MARINA",
"middle_name": "ZAKHAROVA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-31",
"last_updated": "2020-12-04",
"certification_date": "2020-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "WA",
"license": "MD60722837",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE L&I",
"identifier": "376074",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2076945",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mzakharova246351@fhsce.catholichealth.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1802 Yakima Ave Ste 307",
"city": "Tacoma",
"state": "WA",
"country_code": "US",
"postal_code": "984055305",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "MARINA",
"last_name": "ZAKHAROVA",
"middle_name": "Y",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.