Individual provider Active NPI

Parker R Fillmore, MD

  • Surgical Critical Care Physician
  • Everett, WA
National Provider Identifier
1417155086
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Critical Care PhysicianTaxonomy code 2086S0102X
License
1417155086 Issued in WA
Practice address
1321 Colby Ave
Everett, WA 98201-1665
Phone
(425) 261-2000
Fax
(208) 367-5595
NPI assigned
Jul 5, 2007
Last updated
Dec 23, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 44866 AZ
Surgery Physician 208600000X M-13235 ID
Surgical Critical Care Physician 2086S0102X 1417155086 WA Primary
Trauma Surgery Physician 2086S0127X M-13235 ID
Trauma Surgery Physician 2086S0127X MD61286229 WA

Addresses

Primary practice location

1321 Colby Ave
Everett, WA 98201-1665

Mailing address

3340 E Goldstone Way
Meridian, ID 83642-1026
Phone (208) 367-7676

Other practice location 1

888 Swift Blvd
Richland, WA 99352-3514
Phone (509) 946-4611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, ID, WA, NV4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20141016000009 AZ Practitioner - General Surgery 4183845183 Reassigns benefits to 1 organization
I20160616001466 ID Practitioner - General Surgery 4183845183 Reassigns benefits to 1 organization
I20220329000905 WA Practitioner - Critical Care (Intensivists)Practitioner - General Surgery 4183845183 Reassigns benefits to 2 organizations
I20250930003911 NV Practitioner - Critical Care (Intensivists)Practitioner - General Surgery 4183845183 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: General Surgery
Education
University of Arizona College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Intensive Care Consortium IncGroup PAC ID 0244269413, 485 clinicians
Sunrise Mountainview Multispecialty Clinics LLCGroup PAC ID 1759469711, 64 clinicians
Kadlec Regional Medical CenterGroup PAC ID 9739098617, 402 clinicians

Practice addresses (Care Compare)

1321 Colby Ave
Everett, WA 98201-1665
Phone (425) 261-2000

3100 Channing Way
Idaho Falls, ID 83404-7533
Phone (208) 529-6111

3100 N Tenaya Way
Las Vegas, NV 89128-0436
Phone (702) 255-5000

4112 Harbour Pointe Blvd SW
Suite 100
Mukilteo, WA 98275-5457
Phone (425) 347-6330

888 Swift Blvd
Richland, WA 99352-3514
Phone (509) 946-4611

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1417155086WAMDSurgical Critical Care Physician
M-13235IDMDTrauma Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sunrise Mountainview Multispecialty Clinics, LLC CurrentSince Sep 2, 2025 Accepting new patients
Honorhealth Ambulatory CurrentSince Jul 28, 2014 Accepting new patients
Kadlec Regional Medical Center CurrentSince Jul 12, 2024 Accepting new patients
Providence Health & Services-Washington CurrentSince Mar 1, 2024 Accepting new patients
Honorhealth Ambulatory Current Accepting new patients
Intensive Care Consortium Inc CurrentSince Jun 1, 2025 Accepting new patients
Acute Care Solutions PLLC Surgery Current Accepting new patients
Kadlec Regional Medical Center CurrentSince Jul 12, 2024 Accepting new patients
Honorhealth Ambulatory CurrentSince Jul 28, 2014 Accepting new patients
Kadlec Regional Medical Center Current Accepting new patients
Wallowa County Health Care District Past Accepting new patients
Providence Health & Services-Wa Past Accepting new patients

Locations

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

3501 N Scottsdale Rd
Ste 320
Scottsdale, AZ 85251
Phone (480) 424-7228

3100 Channing Way
Idaho Falls, ID 83404
Phone (208) 227-2100

3100 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 225-5025

3186 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 731-8000

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

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

1321 Colby Ave
Ofc
Everett, WA 98201
Phone (425) 261-4076

4112 Harbour Pointe Blvd SW
Ste 100
Mukilteo, WA 98275
Phone (425) 347-6330

1135 Jadwin Ave
Richland, WA 99352
Phone (509) 942-3300

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

Interoperability endpoints

  • Direct secure messaging: pfillmore1564158@direct.trinity-health.org
  • Direct secure messaging: pfillmore2269165@wm.providencedirect.org

Organizations & group practices 13

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 13

Hospital & facility affiliations 5

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": "1183593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766448000000",
    "number": "1417155086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 E GOLDSTONE WAY",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836421026",
            "telephone_number": "208-367-7676",
            "fax_number": "208-367-5595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 COLBY AVE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982011665",
            "telephone_number": "425-261-2000",
            "fax_number": "208-367-5595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "888 Swift Blvd",
            "address_purpose": "LOCATION",
            "city": "Richland",
            "state": "WA",
            "postal_code": "993523514",
            "country_code": "US",
            "telephone_number": "509-946-4611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FILLMORE",
        "first_name": "PARKER",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-05",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "44866",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "ID",
            "license": "M-13235",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "WA",
            "license": "1417155086",
            "primary": true
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "ID",
            "license": "M-13235",
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "WA",
            "license": "MD61286229",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

Verify at the official NPI Registry.