Mark Warner Jacokes, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

60170865 Issued in WA

Practice address

4060 E Stevens Cir
Hall Health Primary Care Center, Univ. of Washington
Seattle, WA 98195-0001

Phone

(206) 685-1011

Fax

(206) 685-1853

NPI assigned

Mar 22, 2007

Last updated

Aug 6, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281052800000",
    "number": "1790802213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50095",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981455095",
            "telephone_number": "206-520-5358",
            "fax_number": "206-520-5620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4060 E STEVENS CIR",
            "address_2": "HALL HEALTH PRIMARY CARE CENTER, UNIV. OF WASHINGTON",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981950001",
            "telephone_number": "206-685-1011",
            "fax_number": "206-685-1853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOKES",
        "first_name": "MARK",
        "middle_name": "WARNER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2010-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "60170865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Victoria Jacobson, PHD
• Savannah Jacobson, CPC
• Valerie R Jacobson
• Vallie Jacobson, ARNP
• Michael John Jacobus, LMP, CTP
• Katherine Marie Jacolev, MA CFY SLP
• Jacqueline Tiffin DDS PLLC
• Kathleen Elizabeth Jacques, D.D.S.
• Immanuel Jacquez, MD
• Jacquie Gallaway, LLC

• Internal Medicine Physician in Seattle, WA
• Providers in Seattle, WA by specialty
• Internal Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2010; 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.