Individual provider Active NPI

Eileen Margaret Newmarker, PA-C

  • Physician Assistant
  • Lakewood, WA
National Provider Identifier
1558902890
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA61389905 Issued in WA
Practice address
11311 Bridgeport Way SW Ste 309
Lakewood, WA 98499-3078
Phone
(253) 985-2733
Fax
(253) 985-2868
NPI assigned
Oct 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110-006836 VA
Surgical Physician Assistant 363AS0400X PA61389905 WA
Physician Assistant 363A00000X PA61389905 WA Primary

Addresses

Primary practice location

11311 Bridgeport Way SW Ste 309
Lakewood, WA 98499-3078

Mailing address

11311 Bridgeport Way SW Ste 309
Lakewood, WA 98499-3078
Phone (253) 985-2733

Other identifiers 1

IdentifierTypeStateIssuer
2259870MedicaidWA

Other names 1

  • Eileen Fauteux Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address efauteux786269@fhsce.catholichealth.net Direct Franciscan Medical Group

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230906000602 WA Practitioner - Physician Assistant 9234558818 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Philadelphia College of Osteopathic Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Franciscan Medical GroupGroup PAC ID 0547173866, 1,400 clinicians

Practice addresses (Care Compare)

11311 Bridgeport Way SW
Lakewood, WA 98499-3051

11311 Bridgeport Way SW
Suite 100
Lakewood, WA 98499-3096
Phone (206) 965-4200

11315 Bridgeport Way SW
Lakewood, WA 98499-3004
Phone (253) 426-6341

11567 Canterwood Blvd NW
Gig Harbor, WA 98332-5812
Phone (253) 426-6341

1608 S J St
Tacoma, WA 98405-4930

1617 S J St
Tacoma, WA 98405-4930
Phone (253) 426-6306

1708 Yakima Ave
Tacoma, WA 98405-5307
Phone (253) 272-2224

1812 S J St
Suite 120
Tacoma, WA 98405-4965
Phone (253) 428-2200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0110-006836VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Medical Group CurrentSince Aug 21, 2023 Accepting new patients
Franciscan Medical Group CurrentSince Aug 21, 2023 Accepting new patients
Franciscan Medical Group Physician Assistant Past Accepting new patients

Locations

11311 Bridgeport Way SW
Ste 309
Tacoma, WA 98499
Phone (253) 985-2733

1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200

Organizations & group practices 4

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 6

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": "1570406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1558902890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11311 BRIDGEPORT WAY SW STE 309",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984993078",
            "telephone_number": "253-985-2733",
            "fax_number": "253-985-2868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11311 BRIDGEPORT WAY SW STE 309",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984993078",
            "telephone_number": "253-985-2733",
            "fax_number": "253-985-2868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWMARKER",
        "first_name": "EILEEN",
        "middle_name": "MARGARET",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-07",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110-006836",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "WA",
            "license": "PA61389905",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA61389905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2259870",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "efauteux786269@fhsce.catholichealth.net",
            "affiliation": "Y",
            "affiliationName": "Franciscan Medical Group",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "11311 Bridgeport Way SW Ste 309",
            "city": "Lakewood",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984993078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "EILEEN",
            "last_name": "FAUTEUX",
            "credential": "PAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lakewood, WA

Sources for this page

Verify at the official NPI Registry.