Individual provider Active NPI

Mark B Emery, MD

  • Otolaryngology/Facial Plastic Surgery Physician
  • Federal Way, WA
National Provider Identifier
1699716233
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
MD00037192 Issued in WA
Practice address
34612 6TH Ave S
Federal Way, WA 98003-6704
Phone
(253) 661-2594
Fax
(253) 661-2694
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X MD00037192 WA Primary

Addresses

Primary practice location

34612 6TH Ave S
Federal Way, WA 98003-6704

Mailing address

34612 6TH Ave S
#110
Federal Way, WA 98003-8723
Phone (253) 661-2594

Other practice location 1

4011 Talbot Rd S Ste 210
Renton, WA 98055-5791
Phone (425) 690-3602

Other identifiers 1

IdentifierTypeStateIssuer
1427128198OtherWAGROUP NPI

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
I20041203000705 WA Practitioner - Otolaryngology 2466418223 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Multicare Health SystemGroup PAC ID 7719899897, 2,312 clinicians

Practice addresses (Care Compare)

4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706

Hospital & facility affiliations

  • Deaconess Medical Center Hospital, Spokane, WA, CCN 500044

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00037192WAMDOtolaryngology/Facial Plastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System CurrentSince Feb 14, 2022 Accepting new patients
Multicare Health System CurrentSince Feb 14, 2022 Accepting new patients
Surgical Associates Northwest, P.C. Otolaryngology/Facial Plastic Surgery CurrentSince Jan 1, 2005 Accepting new patients
Multicare Health System Current Accepting new patients
Surgical Associates Northwest, PC CurrentSince Jan 1, 2005 Accepting new patients
Valley Medical Group-Renton CurrentSince Sep 15, 2023 Accepting new patients
Sjcane PLLC Past Accepting new patients

Locations

125 3rd St NE
Ste 201
Auburn, WA 98002
Phone (206) 833-4050

202 N Division St
Ste 100
Auburn, WA 98001
Phone (253) 223-0515

222 2nd St NE
Auburn, WA 98002
Phone (253) 333-2737

16850 SE 272nd St
Ste 100
Covington, WA 98042
Phone (253) 395-1971

34612 6th Ave S
Ste 200
Federal Way, WA 98003
Phone (253) 661-2594

34612 6th Ave S
Federal Way, WA 98003
Phone (253) 237-0460

34612 6th Ave S
Ste 110
Federal Way, WA 98003
Phone (253) 661-2594

32114 1st Ave S
Ste 203
Federal Way, WA 98003
Phone (253) 833-4445

34612 6th Ave S
Ste 210
Federal Way, WA 98003
Phone (253) 927-1882

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

4011 Talbot Rd S
Ste 420
Renton, WA 98055
Phone (425) 251-1322

4011 Talbot Rd S
Ste 210
Renton, WA 98055
Phone (425) 255-4250

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

Interoperability endpoints

  • Direct secure messaging: memery120280@direct.multicare.org
  • FHIR API: https://api.platform.athenahealth.com/2229/brand/3/csg/621/fhir/r4

Organizations & group practices 7

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 1

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1699716233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34612 6TH AVE S",
            "address_2": "#110",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980038723",
            "telephone_number": "253-661-2594",
            "fax_number": "253-661-2694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34612 6TH AVE S",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036704",
            "telephone_number": "253-661-2594",
            "fax_number": "253-661-2694"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4011 Talbot Rd S Ste 210",
            "address_purpose": "LOCATION",
            "city": "Renton",
            "state": "WA",
            "postal_code": "980555791",
            "country_code": "US",
            "telephone_number": "425-690-3602",
            "fax_number": "425-690-9602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EMERY",
        "first_name": "MARK",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "WA",
            "license": "MD00037192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1427128198",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

Verify at the official NPI Registry.