Individual provider Active NPI

Mark Reeves Hoerr, MD

  • Psychiatry Physician
  • Seattle, WA
National Provider Identifier
1356378400
Registry record updated Feb 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD00023210 Issued in WA
Practice address
101 14TH Ave E
Seattle, WA 98112-5207
Phone
(206) 323-7880
Fax
(206) 323-5868
NPI assigned
Jun 26, 2006
Last updated
Feb 2, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD00023210 WA Primary

Addresses

Primary practice location

101 14TH Ave E
Seattle, WA 98112-5207

Mailing address

101 14TH Ave E
Seattle, WA 98112-5207
Phone (206) 323-7880

Other identifiers 1

IdentifierTypeStateIssuer
1049238MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Dec 22, 2015 through Dec 22, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00023210WAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sunderland Family Treatment Services Past Accepting new patients
The Evergreen Clinic Psychiatry Past Accepting new patients
Swedish Health Services Past Accepting new patients
Compass Health Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296604800000",
    "number": "1356378400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 14TH AVE E",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981125207",
            "telephone_number": "206-323-7880",
            "fax_number": "206-323-5868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 14TH AVE E",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981125207",
            "telephone_number": "206-323-7880",
            "fax_number": "206-323-5868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOERR",
        "first_name": "MARK",
        "middle_name": "REEVES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2011-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "MD00023210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1049238",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.