Individual provider Active NPI

Mark Daniel Flesher, M.D.

  • Family Medicine Physician
  • Kennewick, WA
National Provider Identifier
1497741771
Registry record updated Jul 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00032438 Issued in WA
Practice address
7201 W Grandridge Blvd
Suite 101
Kennewick, WA 99336-6709
Phone
(509) 735-2325
Fax
(509) 735-3222
NPI assigned
Sep 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD00032438 WA Primary

Addresses

Primary practice location

7201 W Grandridge Blvd
Suite 101
Kennewick, WA 99336-6709

Mailing address

7201 W Grandridge Blvd
Suite 101
Kennewick, WA 99336-6709
Phone (509) 735-2325

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100420000985 WA Practitioner - Family Practice 1759373202 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Saint Louis University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
RCCH Trios Health LLC 65 clinicians

Practice addresses (Care Compare)

216 W 10TH Ave
Suite 204
Kennewick, WA 99336-6304
Phone (509) 221-5520

Hospital & facility affiliations

  • Tri-Cities Home Health Home health agency, Kennewick, WA, CCN 507010
  • Trios Health Hospital, Kennewick, WA, CCN 500053
  • Kadlec Regional Medical Center Hospital, Richland, WA, CCN 500058
  • Lourdes Medical Center Hospital, Pasco, WA, CCN 501337

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
RCCH Trios Health LLC Family Medicine CurrentSince Aug 1, 2018 Accepting new patients
Kennewick Public Hospital District Past Accepting new patients

Locations

900 S Auburn St
Kennewick, WA 99336
Phone (509) 586-5111

216 W 10th Ave
Ste 204
Kennewick, WA 99336
Phone (509) 221-5520

7211 W Deschutes Ave
Ste B
Kennewick, WA 99336
Phone (509) 221-6930

7201 W Grandridge Blvd
Ste 101
Kennewick, WA 99336
Phone (509) 221-6351

Interoperability endpoints

  • Direct secure messaging: mark.flesher.1@18485.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 4

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": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185494400000",
    "number": "1497741771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7201 W GRANDRIDGE BLVD",
            "address_2": "SUITE 101",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993366709",
            "telephone_number": "509-735-2325",
            "fax_number": "509-735-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7201 W GRANDRIDGE BLVD",
            "address_2": "SUITE 101",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993366709",
            "telephone_number": "509-735-2325",
            "fax_number": "509-735-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLESHER",
        "first_name": "MARK",
        "middle_name": "DANIEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-22",
        "last_updated": "2007-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00032438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

Verify at the official NPI Registry.