Active NPI
Parker R Fillmore, MD
- Surgical Critical Care Physician
- Everett, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Critical Care Physician
- License
- 1417155086
- 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, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- University of Arizona College of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- Eastern Idaho Regional Medical Center
- Kadlec Regional Medical Center
- Mountainview Hospital
- Providence Regional Medical Center Everett
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1417155086 | WA | MD | Surgical Critical Care Physician |
| M-13235 | ID | MD | Trauma Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunrise Mountainview Multispecialty Clinics, LLC | Current | Accepting new patients | |
| Honorhealth Ambulatory | Current | Accepting new patients | |
| Kadlec Regional Medical Center | Current | Accepting new patients | |
| Providence Health & Services-Washington | Current | Accepting new patients | |
| Honorhealth Ambulatory | Current | Accepting new patients | |
| Intensive Care Consortium Inc | Current | Accepting new patients | |
| Acute Care Solutions PLLC | Surgery | Current | Accepting new patients |
| Kadlec Regional Medical Center | Current | Accepting new patients | |
| Honorhealth Ambulatory | Current | 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
- pfillmore1564158@direct.trinity-health.org
- 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.
-
- General Acute Care Hospital
- Richland, WA
- NPI 1972507580
-
- Neurology Physician
- Las Vegas, NV
- NPI 1043402522
-
dba PMG NW Wa
- General Practice Physician
- Everett, WA
- NPI 1124270715
-
dba HonorHealth Research Institute
- Hematology & Oncology Physician
- Scottsdale, AZ
- NPI 1407050917
-
- Trauma Surgery Physician
- Caldwell, ID
- NPI 1760214654
-
- Plastic Surgery Physician
- Richland, WA
- NPI 1235471954
-
dba Kadlec Regional Medical Center - Rehab Unit
- Rehabilitation Hospital Unit
- Richland, WA
- NPI 1790319580
-
dba PMG NW WA Monroe Pediatrics
- Pediatrics Physician
- Monroe, WA
- NPI 1265683650
-
- Pain Medicine (Anesthesiology) Physician
- Scottsdale, AZ
- NPI 1154660298
-
- Emergency Medicine Physician
- Mesa, AZ
- NPI 1891518130
-
- General Acute Care Hospital
- Everett, WA
- NPI 1700037801
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Richland, WA
- NPI 1972507580
-
dba Providence Regional Medical Center Everett
- Hospitalist Physician
- Everett, WA
- NPI 1649615220
-
- General Acute Care Hospital
- Everett, WA
- NPI 1700037801
-
dba Eastern Idaho Regional Medical Center
- General Acute Care Hospital
- Idaho Falls, ID
- NPI 1225082209
-
dba Mountainview Hospital
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1104870187
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.