Active NPI
Mark Lewis Swyer, MD
- Family Medicine Physician
- Everett, WA
National Provider Identifier
1538254248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 19726
- Practice address
- 210 128TH St SE
Everett, WA 98208-6338 - Phone
- (425) 337-5100
- Fax
- (425) 745-3933
- NPI assigned
- Oct 4, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 19726 | WA | Primary |
| Internal Medicine Physician | 207R00000X | 19726 | WA |
Addresses
Primary practice location
210 128TH St SE
Everett, WA 98208-6338
Mailing address
210 128TH St SE
Everett, WA 98208-6338
Phone (425) 337-5100
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1017318 | Medicaid | WA | |
| 080007381 | Other | WA | RAILROAD MEDICARE |
| R23889 | Other | WA | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19726 | WA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Creek Medicine Inc PS | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Everett, WA
- NPI 1790913374
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232409600000",
"number": "1538254248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 128TH ST SE",
"city": "EVERETT",
"state": "WA",
"postal_code": "982086338",
"telephone_number": "425-337-5100",
"fax_number": "425-745-3933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 128TH ST SE",
"city": "EVERETT",
"state": "WA",
"postal_code": "982086338",
"telephone_number": "425-337-5100",
"fax_number": "425-745-3933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWYER",
"first_name": "MARK",
"middle_name": "LEWIS",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2009-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "19726",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "19726",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1017318",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "080007381",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "R23889",
"state": "WA"
}
],
"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 Jan 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.