Individual provider Active NPI

Mark J Zarzycki, MD

  • Emergency Medicine Physician
  • Bellingham, WA
National Provider Identifier
1215972930
Registry record updated Sep 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD00024878 Issued in WA
Practice address
2901 Squalicum Pkwy
Bellingham, WA 98225-1851
Phone
(360) 734-5400
Fax
(360) 738-6377
NPI assigned
Jun 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD00024878 WA Primary
Emergency Medicine Physician 207P00000X 54388-20 WI

Addresses

Primary practice location

2901 Squalicum Pkwy
Bellingham, WA 98225-1851

Mailing address

286 Briar Rd
Bellingham, WA 98225
Phone (253) 838-6180

Other identifiers 4

IdentifierTypeStateIssuer
0168209OtherWALIWA
E72567OtherWABSWA
54388OtherWIWI STATE LIC
1034768MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, WI, MN3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20041210000406 WA Practitioner - Emergency Medicine 9830156991 Reassigns benefits to 5 organizations
I20100817000304 WI Practitioner - Emergency Medicine 9830156991 Reassigns benefits to 2 organizations
I20180830003528 MN Practitioner - Emergency Medicine 9830156991 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. 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
MD00024878WAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Health of Northern Minnesota CurrentSince Aug 1, 2018 Accepting new patients
Thedacare Medical Center - Waupaca, Inc. Current Accepting new patients
Multicare Health System CurrentSince Jan 9, 2017 Accepting new patients
Aspirus Stevens Point Hospital & Clinics, Inc. CurrentSince Aug 1, 2017 Accepting new patients
Multicare Health System Current Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Feb 22, 2021 Accepting new patients
Winona Health Services CurrentSince Nov 1, 2018 Accepting new patients
Kaiser Foundation Health Plan of the Northwest Emergency Medicine CurrentSince Feb 22, 2021 Accepting new patients
Aspirus Stevens Point Hospital & Clinics, Inc. Emergency Medicine CurrentSince Aug 1, 2017 Accepting new patients
Sound Physicians Emergency Medicine of Washington PLLC Emergency Medicine CurrentSince Jan 1, 2023 Accepting new patients
Sanford Health Network North CurrentSince Mar 10, 2024 Accepting new patients
Sanford Health Network North Current Accepting new patients
Sanford Health of Northern Minnesota Current Accepting new patients
Kaiser Foundation Health Plan of the Northwest Emergency Medicine Current Accepting new patients
Sanford Health Network North CurrentSince Mar 10, 2024 Accepting new patients
Multicare Health System CurrentSince Jan 9, 2017 Accepting new patients
Northwest Emergency Physicians LLC Emergency Medicine CurrentSince Dec 15, 2004 Accepting new patients
Peacehealth Emergency Medicine CurrentSince Nov 26, 2012 Accepting new patients
Sanford Health of Northern Minnesota CurrentSince Aug 1, 2018 Accepting new patients
Peacehealth CurrentSince Nov 26, 2012 Accepting new patients
Tacoma Emergency Medicine Associates PC Emergency Medicine Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

1611 Anne St NW
Bemidji, MN 56601
Phone (218) 333-2020

1400 Highway 71
Intl Falls, MN 56649
Phone (218) 283-4481

1720 US Highway 59 SE
Thief Rvr Fls, MN 56701
Phone (218) 681-4747

855 Mankato Ave
Winona, MN 55987
Phone (507) 454-3680

1211 24th St
Anacortes, WA 98221
Phone (360) 293-3181

330 S Stillaguamish Ave
Arlington, WA 98223
Phone (360) 435-2133

2901 Squalicum Pkwy
Bellingham, WA 98225
Phone (360) 734-5400

1117 Spring St
Friday Harbor, WA 98250
Phone (360) 378-1738

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

3810 Plaza Way
Kennewick, WA 99338
Phone (509) 221-7000

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

1230 7th Ave
Longview, WA 98632
Phone (360) 575-4801

801 E Wheeler Rd
Moses Lake, WA 98837
Phone (509) 765-5606

888 Swift Blvd
Richland, WA 99352
Phone (509) 942-2115

2000 Hospital Dr
Sedro Woolley, WA 98284
Phone (360) 856-6021

800 W 5th Ave
Spokane, WA 99204
Phone (509) 458-5800

1717 S J St
Tacoma, WA 98405
Phone (253) 426-4101

7101 NE 137th Ave
Vancouver, WA 98682
Phone (360) 418-6000

1115 SE 164th Ave
Dept 358
Vancouver, WA 98683
Phone (360) 729-1253

900 Illinois Ave
Stevens Point, WI 54481
Phone (715) 342-7500

800 Riverside Dr
Waupaca, WI 54981
Phone (715) 258-1000

Interoperability endpoints

  • Direct secure messaging: mzarzycki654487@direct.centracare.com

Organizations & group practices 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348704000000",
    "number": "1215972930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "286 BRIAR RD",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "98225",
            "telephone_number": "253-838-6180",
            "fax_number": "253-838-6418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 SQUALICUM PKWY",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251851",
            "telephone_number": "360-734-5400",
            "fax_number": "360-738-6377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZARZYCKI",
        "first_name": "MARK",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-17",
        "last_updated": "2012-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "MD00024878",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "54388-20",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIWA",
            "identifier": "0168209",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSWA",
            "identifier": "E72567",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WI STATE LIC",
            "identifier": "54388",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1034768",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.