Individual provider Active NPI

Jack Mark Fields, MD

  • Diagnostic Radiology Physician
  • Olympia, WA
National Provider Identifier
1326016379
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD00045508 Issued in WA
Practice address
3417 Ensign Rd NE
Olympia, WA 98506-5075
Phone
(360) 493-4600
Fax
(360) 493-4603
NPI assigned
Mar 8, 2006
Last updated
Dec 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD00045508 WA Primary

Addresses

Primary practice location

3417 Ensign Rd NE
Olympia, WA 98506-5075

Mailing address

19020 33Rd Ave W Ste 210
Lynnwood, WA 98036-4748
Phone (425) 563-1500

Other practice location 1

203 S Western Ave
Tonasket, WA 98855-8803
Phone (509) 486-2151

Other identifiers 4

IdentifierTypeStateIssuer
0384204OtherWALNI-RADIA
8450157MedicaidWA
1043717MedicaidWA
0207711OtherWALNI-SOUTH SOUND RADIOLOGY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, CA, MI3 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
I20060222000331 WA Practitioner - Diagnostic Radiology 2567478951 Reassigns benefits to 24 organizations
I20250124002263 CA Practitioner - Diagnostic Radiology 2567478951 Reassigns benefits to 3 organizations
I20251121001298 MI Practitioner - Diagnostic Radiology 2567478951 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
New York Medical College, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Associates PAGroup PAC ID 7517953912, 103 clinicians
Evergreen Radia LLCGroup PAC ID 4587568076, 116 clinicians
Radia Inc P SGroup PAC ID 9931012812, 275 clinicians
Swedish Health ServicesGroup PAC ID 3173433067, 156 clinicians
Swedish Radia Imaging Center at Edmonds LLCGroup PAC ID 5496778292, 115 clinicians
Swedish Health ServicesGroup PAC ID 9537072814, 384 clinicians
Medford Radiological Group PCGroup PAC ID 2062303324, 91 clinicians
Radia Oregon Radiology Medical Group LLCGroup PAC ID 2961852637, 122 clinicians
Radia California Radiology Medical Group IncGroup PAC ID 8921465998, 134 clinicians
Yakima Valley Memorial PhysiciansGroup PAC ID 1557391596, 397 clinicians
South Sound Radiologists Inc P SGroup PAC ID 1254229305, 76 clinicians
Optum Care Washington PLLCGroup PAC ID 6406752153, 684 clinicians
Swedish Health ServicesGroup PAC ID 0244138196, 1,038 clinicians
County of Santa ClaraGroup PAC ID 1254244973, shared by 46 NPIs, 1,000 clinicians

Practice addresses (Care Compare)

Edmonds, WA 98026
Phone (501) 664-3914

11521 NE 128TH St
Suite 200
Kirkland, WA 98034-4317
Phone (425) 952-6100

1201 S Miller St
Wenatchee, WA 98801-3201
Phone (509) 662-2208

12040 NE 128TH St
Kirkland, WA 98034-3013
Phone (425) 899-1800

1229 Madison St
Suite 900
Seattle, WA 98104-1391
Phone (206) 292-6233

13020 Meridian Ave S
Everett, WA 98208-6468
Phone (425) 357-3960

21700 Hwy 99
Edmonds, WA 98026-8034
Phone (425) 297-6200

2450 33Rd Ave W
Suite 100
Seattle, WA 98199-3252
Phone (206) 320-3364

2729 Libby Rd NE
Olympia, WA 98506-2915
Phone (541) 618-5800

2811 Tieton Dr
Yakima, WA 98902-3761
Phone (509) 575-8000

3417 Ensign Rd NE
Olympia, WA 98506-5064
Phone (360) 493-4600

3927 Rucker Ave
Everett, WA 98201-4833
Phone (425) 259-0966

4744 41St Ave SW
Seattle, WA 98116-4566

515 Minor Ave
Suite 110
Seattle, WA 98104-2145
Phone (206) 386-9699

751 S Bascom Ave
San Jose, CA 95128-2604
Phone (408) 885-5000

810 Jasmine St
Omak, WA 98841-9578
Phone (509) 826-1760

9801 Frontier Ave SE
Snoqualmie, WA 98065-5200
Phone (425) 831-2313

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Proliance Surgeons Inc P S Current Accepting new patients
Tower Imaging Medical Associates, Inc. Diagnostic Radiology CurrentSince May 25, 2024 Accepting new patients
County of Santa Clara CurrentSince Jan 22, 2025 Accepting new patients
Proliance Surgeons, Inc., P.S CurrentSince Sep 11, 2023 Accepting new patients
Radia Oregon Radiology Medical Group LLC Diagnostic Radiology CurrentSince Jan 1, 2024 Accepting new patients
Swedish Health Services CurrentSince Sep 24, 2019 Accepting new patients
Public Hospital District No 4, King County Wa CurrentSince Apr 1, 2023 Accepting new patients
Yakima Valley Memorial Physicians CurrentSince Oct 1, 2025 Accepting new patients
County of Santa Clara CurrentSince Jan 22, 2025 Accepting new patients
Swedish Radia Imaging Center at Edmonds LLC Diagnostic Radiology CurrentSince Mar 25, 2019 Accepting new patients
Okanogan County Public Hospital Dist No 4 CurrentSince Jan 1, 2026 Accepting new patients
Optum Care Washington PLLC CurrentSince Dec 6, 2023 Accepting new patients
Proliance Surgeons Inc P S CurrentSince Sep 11, 2023 Accepting new patients
Okanogan County Public Hospital District No. 3 CurrentSince Sep 1, 2021 Accepting new patients
Msu Health Care Inc. Diagnostic Radiology CurrentSince Nov 1, 2025 Accepting new patients
Yakima Valley Memorial Physicians Current Accepting new patients
Yakima Valley Memorial Physicians CurrentSince Oct 1, 2025 Accepting new patients
Radiology Associates PA Diagnostic Radiology CurrentSince Nov 1, 2022 Accepting new patients
Medford Radiological Group, PC Diagnostic Radiology CurrentSince Jun 15, 2022 Accepting new patients
Swedish Health Services CurrentSince Sep 24, 2019 Accepting new patients
Public Hospital District No 4 King County Washington CurrentSince Apr 1, 2023 Accepting new patients
County of Santa Clara Current Accepting new patients
Swedish Health Services CurrentSince May 22, 2020 Accepting new patients
County of Santa Clara CurrentSince Jan 22, 2025 Accepting new patients
Radia Imaging Center Holdings LLC Diagnostic Radiology CurrentSince Jan 1, 2019 Accepting new patients
Wenatchee Valley Hospital CurrentSince May 1, 2019 Accepting new patients
Msu Health Care Inc. CurrentSince Nov 1, 2025 Accepting new patients
Swedish Health Services CurrentSince Mar 1, 2020 Accepting new patients
County of Santa Clara Current Accepting new patients
Msu Health Care Inc Current Accepting new patients
Radia California Radiology Medical Group Inc Diagnostic Radiology CurrentSince Mar 18, 2024 Accepting new patients
Okanogan County Public Hospital Dist No 4 CurrentSince Jul 1, 2021 Accepting new patients
Central Washington Health Services Association Current Accepting new patients
Okanogan County Public Hospital Dist No 4 CurrentSince Jul 1, 2021 Accepting new patients
Swedish Health Services CurrentSince May 22, 2020 Accepting new patients
Optum Care Washington PLLC CurrentSince Dec 6, 2023 Accepting new patients
Central Washington Health Services Association CurrentSince Jun 1, 2022 Accepting new patients
County of Santa Clara CurrentSince Jan 22, 2025 Accepting new patients
Public Hospital District No 4 King County Washington CurrentSince Sep 23, 2025 Accepting new patients
Evergreen Radia LLC Diagnostic Radiology CurrentSince Mar 25, 2019 Accepting new patients
Radia Inc P S Diagnostic Radiology CurrentSince Jan 1, 2018 Accepting new patients

Locations (25 of 50)

500 S University Ave
Ste 101
Little Rock, AR 72205
Phone (501) 686-2688

7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400

1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320

1996 Lundy Ave
San Jose, CA 95131
Phone (408) 299-5846

2101 Alexian Dr
San Jose, CA 95116
Phone (408) 272-6050

500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433

750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

1328 22nd St
Santa Monica, CA 90404
Phone (310) 829-5511

121 Sotoyome St
Santa Rosa, CA 95405
Phone (707) 546-3141

660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366

4660 S Hagadorn Rd
Ste 500
East Lansing, MI 48823
Phone (517) 432-6144

3220 Discovery Dr
Ste 100
Lansing, MI 48910
Phone (517) 975-8930

21700 Highway 99
Edmonds, WA 98026
Phone (425) 640-4949

7320 216th St SW
Ste 310
Edmonds, WA 98026
Phone (425) 673-3800

1100 Pacific Ave
Ste 300
Everett, WA 98201
Phone (425) 337-7000

13020 Meridian Ave S
Everett, WA 98208
Phone (425) 357-3700

1321 Colby Ave
Everett, WA 98201
Phone (425) 259-4413

1330 Rockefeller Ave
Everett, WA 98201
Phone (425) 258-3903

3102 Colby Ave
Everett, WA 98201
Phone (425) 258-8110

3927 Rucker Ave
Everett, WA 98201
Phone (425) 339-5419

5708 E Lake Sammamish Pkwy SE
Issaquah, WA 98029
Phone (425) 688-5488

11521 NE 128th St
Ste 200
Kirkland, WA 98034
Phone (425) 952-6100

12040 NE 128th St
Kirkland, WA 98034
Phone (425) 899-1000

19020 33rd Ave W
Ste 210
Lynnwood, WA 98036
Phone 42556315001

Organizations & group practices 42

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 42

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767052800000",
    "number": "1326016379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19020 33RD AVE W STE 210",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980364748",
            "telephone_number": "425-563-1500",
            "fax_number": "425-563-1374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3417 ENSIGN RD NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065075",
            "telephone_number": "360-493-4600",
            "fax_number": "360-493-4603"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "203 S Western Ave",
            "address_purpose": "LOCATION",
            "city": "Tonasket",
            "state": "WA",
            "postal_code": "988558803",
            "country_code": "US",
            "telephone_number": "509-486-2151",
            "fax_number": "509-223-1640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FIELDS",
        "first_name": "JACK",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD00045508",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LNI-RADIA",
            "identifier": "0384204",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8450157",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1043717",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LNI-SOUTH SOUND RADIOLOGY",
            "identifier": "0207711",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

Verify at the official NPI Registry.