Individual provider Active NPI

Mark Whitman Sheafor, DPM

  • Foot & Ankle Surgery Podiatrist
  • Bellingham, WA
National Provider Identifier
1346561446
Registry record updated Oct 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO 60134920 Issued in WA
Practice address
3120 Squalicum Pkwy Ste 2
Bellingham, WA 98225-1934
Phone
(360) 647-0557
Fax
(360) 733-2892
NPI assigned
Jun 13, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X PO 60134920 WA Primary

Addresses

Primary practice location

3120 Squalicum Pkwy Ste 2
Bellingham, WA 98225-1934

Mailing address

17 Windward Dr
Bellingham, WA 98229-7947
Phone (360) 778-2252

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101007000238 WA Practitioner - Podiatry 3072705128 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3120 Squalicum Pkwy
Suite 2
Bellingham, WA 98225-1934
Phone (360) 647-0557

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1530
Removal or shaving of skin growth1904

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO 60134920WAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mark W. Sheafor, DPM, PS, Inc Foot & Ankle Surgery CurrentSince Oct 1, 2010 Accepting new patients
Mark W. Sheafor, DPM, PS, Inc. CurrentSince Oct 1, 2010 Accepting new patients

Locations

3120 Squalicum Pkwy
Ste 2
Bellingham, WA 98225
Phone (360) 647-0557

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1276387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414454400000",
    "number": "1346561446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 WINDWARD DR",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982297947",
            "telephone_number": "360-778-2252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 SQUALICUM PKWY STE 2",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251934",
            "telephone_number": "360-647-0557",
            "fax_number": "360-733-2892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEAFOR",
        "first_name": "MARK",
        "middle_name": "WHITMAN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-13",
        "last_updated": "2014-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WA",
            "license": "PO 60134920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.