Mark G. Ochenrider, PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD00048527 Issued in WA

Legal business name

MARK G. OCHENRIDER, PLLC

Practice address

11903 NE 128TH St
Suite B
Kirkland, WA 98034-7209

Phone

(425) 821-4848

Fax

(425) 821-4847

NPI assigned

May 29, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Mark Gordon Ochenrider, M.D.

Title

Owner

Phone

(425) 821-4848

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277251200000",
    "number": "1386802007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11903 NE 128TH ST",
            "address_2": "SUITE B",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980347209",
            "telephone_number": "425-821-4848",
            "fax_number": "425-821-4847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11903 NE 128TH ST",
            "address_2": "SUITE B",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980347209",
            "telephone_number": "425-821-4848",
            "fax_number": "425-821-4847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK G. OCHENRIDER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-29",
        "last_updated": "2010-06-23",
        "status": "A",
        "authorized_official_last_name": "OCHENRIDER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "GORDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-821-4848",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00048527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1125020",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Kirkland, WA
• Providers in Kirkland, WA by specialty
• Internal Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.