NPIMap

Individual provider Active NPI

Furqan M Taher, DO

  • Internal Medicine Physician
  • Mount Vernon, WA
National Provider Identifier
1841853967
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OP61214112 Issued in WA
Practice address
110 N Laventure Rd Ste C
Mount Vernon, WA 98273-3901
Phone
(360) 814-8240
Fax
(360) 848-4502
NPI assigned
Apr 15, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OP61214112 WA Primary

Addresses

Primary practice location

110 N Laventure Rd Ste C
Mount Vernon, WA 98273-3901

Mailing address

1400 E Kincaid St
Mount Vernon, WA 98274-4127

Other practice location 1

1801 E Division St
Mount Vernon, WA 98274-4632
Phone (360) 428-2592

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ftaher28838@skagit.direct-ci.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220824000866 WA Practitioner - Internal Medicine 5799013314 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Public Hospital Dist No 1 SkagitGroup PAC ID 6800793522, 321 clinicians

Practice addresses (Care Compare)

1801 E Division St
Mount Vernon, WA 98274-4632
Phone (360) 424-4410

330 S Stillaguamish Ave
Arlington, WA 98223-1642
Phone (360) 435-2133

407 14TH Ave SE
Puyallup, WA 98372-3770
Phone (253) 697-4000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OP61214112WAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Public Hospital Dist No 1 Skagit Current Accepting new patients
Cogent Healthcare of Washington, PC Internal Medicine CurrentSince Oct 22, 2022 Accepting new patients
South Sound Inpatient Physicians, PLLC Internal Medicine CurrentSince Sep 21, 2022 Accepting new patients
South Sound Inpatient Physicians PLLC Internal Medicine Current Accepting new patients
Public Hospital Dist No 1 Skagit CurrentSince Aug 1, 2022 Accepting new patients
Hospitalist Medicine Physicians of California-San Bernardino, PC Internal Medicine CurrentSince Oct 19, 2022 Accepting new patients
Public Hospital Dist No 1 Skagit CurrentSince Aug 1, 2022 Accepting new patients
South Sound Inpatient Physicians PLLC Internal Medicine CurrentSince Sep 21, 2022 Accepting new patients
Public Hospital Dist No 1 Skagit Past Accepting new patients
Public Hospital Dist No 1 Skagit Past Accepting new patients

Locations

330 S Stillaguamish Ave
Arlington, WA 98223
Phone (360) 435-2133

1801 E Division St
Mount Vernon, WA 98274
Phone (360) 424-4410

1415 E Kincaid St
Mount Vernon, WA 98274
Phone (360) 416-5750

110 N Laventure Rd
Ste C
Mount Vernon, WA 98273
Phone (360) 399-7700

1400 E Kincaid St
Mount Vernon, WA 98274
Phone (360) 428-2586

407 14th Ave SE
Puyallup, WA 98372
Phone (253) 697-4000

2000 Hospital Dr
Sedro Woolley, WA 98284
Phone (360) 856-6021

Interoperability endpoints

  • Direct secure messaging: ftaher604789@direct.peacehealth.org
  • Direct secure messaging: ftaher28838@skagit.direct-ci.com

Organizations & group practices 10

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 12

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": "1555286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1841853967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 E KINCAID ST",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982744127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N LAVENTURE RD STE C",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982733901",
            "telephone_number": "360-814-8240",
            "fax_number": "360-848-4502"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1801 E Division St",
            "address_purpose": "LOCATION",
            "city": "Mount Vernon",
            "state": "WA",
            "postal_code": "982744632",
            "country_code": "US",
            "telephone_number": "360-428-2592",
            "fax_number": "360-424-0749",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAHER",
        "first_name": "FURQAN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-15",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "OP61214112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ftaher28838@skagit.direct-ci.com",
            "affiliation": "N",
            "endpointDescription": "Provider Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1801 E Division St",
            "city": "Mount Vernon",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982744632",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mount Vernon, WA

Sources for this page

Verify at the official NPI Registry.