Individual provider Active NPI

Mark Allen Lundquist, MD

  • Occupational Medicine Physician
  • Tukwila, WA
National Provider Identifier
1851683635
Registry record updated Oct 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
60765772 Issued in WA
Practice address
200 Andover Park E Ste 8
Tukwila, WA 98188-2938
Phone
(206) 575-3136
Fax
(206) 575-4892
NPI assigned
May 11, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MT200993 PA
Occupational Medicine Physician 2083X0100X 60765772 WA Primary

Addresses

Primary practice location

200 Andover Park E Ste 8
Tukwila, WA 98188-2938

Mailing address

832 NW 63Rd St
Seattle, WA 98107-2212
Phone (503) 706-0572

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190221003204 WA Practitioner - Emergency Medicine 3779721303 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT200993PAMDEmergency Medicine Physician
60765772WAMDOccupational Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care of Washington, P.S. CurrentSince Nov 12, 2023 Accepting new patients

Locations

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

1925 140th Ave NE
Bellevue, WA 98005
Phone (425) 865-8060

1300 S 320th St
Ste B
Federal Way, WA 98003
Phone (253) 839-2727

9222 N Newport Hwy
Ste 1
Spokane, WA 99218
Phone (509) 467-4545

200 Andover Park E
Ste 8
Tukwila, WA 98188
Phone (206) 575-3136

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1305072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603152000000",
    "number": "1851683635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "832 NW 63RD ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981072212",
            "telephone_number": "503-706-0572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ANDOVER PARK E STE 8",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981882938",
            "telephone_number": "206-575-3136",
            "fax_number": "206-575-4892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNDQUIST",
        "first_name": "MARK",
        "middle_name": "ALLEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-11",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MT200993",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "WA",
            "license": "60765772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tukwila, WA

Sources for this page

Verify at the official NPI Registry.