Organization Active NPI

Mark W. Sheafor, DPM, PS, Inc.

  • Ambulatory Surgical Clinic/Center
  • Bellingham, WA
National Provider Identifier
1508176991
Registry record updated Oct 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
PO 60134920 Issued in WA
Legal business name
MARK W. SHEAFOR, DPM, PS, INC.
Practice address
3120 Squalicum Pkwy
Suite 2
Bellingham, WA 98225-1934
Phone
(360) 647-0557
Fax
(360) 733-2892
NPI assigned
Oct 19, 2010
Last updated
Oct 19, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2014

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

Authorized official

Name
Dr. Mark W Sheafor, DPMNPI 1346561446
Title
Owner
Phone
(360) 647-0557

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X PO 60134920 WA Primary

Addresses

Primary practice location

3120 Squalicum Pkwy
Suite 2
Bellingham, WA 98225-1934

Mailing address

3120 Squalicum Pkwy
Suite 2
Bellingham, WA 98225-1934
Phone (360) 647-0557

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1287446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413676800000",
    "number": "1508176991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 SQUALICUM PKWY",
            "address_2": "SUITE 2",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251934",
            "telephone_number": "360-647-0557",
            "fax_number": "360-733-2892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 SQUALICUM PKWY",
            "address_2": "SUITE 2",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251934",
            "telephone_number": "360-647-0557",
            "fax_number": "360-733-2892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK W. SHEAFOR, DPM, PS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-19",
        "last_updated": "2014-10-19",
        "status": "A",
        "authorized_official_last_name": "SHEAFOR",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-647-0557",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "WA",
            "license": "PO 60134920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2014; 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.