NPIMap

Organization Active NPI

North Creek Medicine Inc PS

  • Internal Medicine Physician
  • Everett, WA
National Provider Identifier
1790913374
Registry record updated Jun 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
19726 Issued in WA
Legal business name
NORTH CREEK MEDICINE INC PS
Practice address
210 128TH St SE
Everett, WA 98208-6338
Phone
(425) 337-5100
Fax
(425) 745-3933
NPI assigned
Jun 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2009

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

Authorized official

Name
Dr. Mark Lewis Swyer, M.D.NPI 1538254248
Title
Physician
Phone
(425) 337-5100

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
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 19726 WA Primary

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

National Provider Directory

National Provider Directory

Locations

210 128th St SE
Everett, WA 98208
Phone (425) 337-5100

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1245715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245715200000",
    "number": "1790913374",
    "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": {
        "organization_name": "NORTH CREEK MEDICINE INC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-23",
        "last_updated": "2009-06-23",
        "status": "A",
        "authorized_official_last_name": "SWYER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "LEWIS",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "425-337-5100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "19726",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 23, 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.

Verify at the official NPI Registry.