Active NPI
Marco Nee Wen, M.D.
- Physical Medicine & Rehabilitation Physician
- Kirkland, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- MD00031147
- Practice address
- 12911 120TH Ave NE Ste H210
Kirkland, WA 98034-3065 - Phone
- (425) 823-4000
- Fax
- (425) 821-3550
- NPI assigned
- Jun 17, 2006
- Last updated
- May 29, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 5460 | AK | |
| Physical Medicine & Rehabilitation Physician | 208100000X | MD00031147 | WA | Primary |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | MD00031147 | WA |
Addresses
Primary practice location
12911 120TH Ave NE Ste H210
Kirkland, WA 98034-3065
Mailing address
12911 120TH Ave NE Ste G10
Kirkland, WA 98034-3048
Phone (425) 823-4000
Other practice location 1
901 Boren Ave
Suite 800
Seattle, WA 98104-3595
Phone (206) 323-1900
Other practice location 2
12911 120th Ave NE Ste H120
Kirkland, WA 98034-3062
Phone (425) 823-4226
Other practice location 3
510 8th Ave NE Ste 110
Issaquah, WA 98029-5436
Phone (425) 507-0810
Other practice location 4
8009 S 180th St Ste 105
Kent, WA 98032-1042
Phone (425) 656-0711
Other practice location 5
3101 Northup Way Ste 201
Bellevue, WA 98004-1435
Phone (425) 455-3600
Other practice location 6
3101 Northup Way Ste 102
Bellevue, WA 98004-1435
Phone (425) 507-0810
Other practice location 7
510 8th Ave NE Ste 200
Issaquah, WA 98029-5436
Phone (425) 392-3030
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2023406 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, AK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- University of Michigan Medical School, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3101 Northup Way
Suite 102
Bellevue, WA 98004-1435
Phone (425) 507-0810
3220 Hospital Dr
Suite 101
Juneau, AK 99801-7899
Phone (907) 364-2663
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00031147 | WA | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proliance Surgeons Inc P S | Current | Accepting new patients | |
| Proliance Surgeons, Inc., P.S. | Current | Accepting new patients | |
| Proliance Surgeons Inc., P.S. | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Pleasants Integrative Health Consultants | Current | Accepting new patients | |
| Proliance Surgeons Inc P S | Current | Accepting new patients | |
| Juneau Bone & Joint Center, LLC. | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Juneau Aesthetics & Wellness LLC | Past | Accepting new patients | |
| Orthopedics International LTD. PS | Past | Accepting new patients | |
| Orthopedics International LTD PS | Past | Accepting new patients | |
| Juneau Spine and Pain Center LLC | Past | Accepting new patients |
Locations
3220 Hospital Dr
Juneau, AK 99801
Phone (907) 364-2663
3220 Hospital Dr
Ste 101
Juneau, AK 99801
Phone (907) 364-2663
3101 Northup Way
Ste 102
Bellevue, WA 98004
Phone (425) 507-0810
3101 Northup Way
Ste 201
Bellevue, WA 98004
Phone (425) 455-3600
510 8th Ave NE
Ste 110
Issaquah, WA 98029
Phone (425) 507-0810
8009 S 180th St
Ste 105
Kent, WA 98032
Phone (425) 656-0711
12911 120th Ave NE
Ste G10
Kirkland, WA 98034
Phone (425) 481-6301
12911 120th Ave NE
Ste H120
Kirkland, WA 98034
Phone (425) 823-4226
12911 120th Ave NE
Ste H210
Kirkland, WA 98034
Phone (425) 823-4000
805 Madison St
Ste 901
Seattle, WA 98104
Phone (206) 264-8100
901 Boren Ave
Ste 900
Seattle, WA 98104
Phone (206) 257-3350
Interoperability endpoints
- mwen951816@wm.providencedirect.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Proliance Surgeons Orthopedic Specialists of Seattle
- Orthopaedic Surgery Physician
- Seattle, WA
- NPI 1023170313
-
- Orthopaedic Surgery Physician
- Juneau, AK
- NPI 1699808139
Physical Medicine & Rehabilitation
-
- Ambulatory Surgical Clinic/Center
- Seattle, WA
- NPI 1558417964
-
- Orthopaedic Surgery Physician
- Seattle, WA
- NPI 1164460515
-
dba Proliance ProOrtho Orthopedics Sports, Joints and Spine
- Orthopaedic Surgery Physician
- Kirkland, WA
- NPI 1669411617
-
dba Orthopedic Physician Associates
- Orthopaedic Surgery Physician
- Seattle, WA
- NPI 1558300434
Physical Medicine & Rehabilitation
-
dba Proliance Advanced Imaging Center
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Issaquah, WA
- NPI 1073768719
-
- Psychiatric/Mental Health Nurse Practitioner
- Juneau, AK
- NPI 1619644846
-
- Specialist
- Juneau, AK
- NPI 1144101981
-
dba Southeast Alaska Surgery Center
- Ambulatory Surgical Clinic/Center
- Juneau, AK
- NPI 1821327560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716940800000",
"number": "1942245733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12911 120TH AVE NE STE G10",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980343048",
"telephone_number": "425-823-4000",
"fax_number": "425-821-3550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12911 120TH AVE NE STE H210",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980343065",
"telephone_number": "425-823-4000",
"fax_number": "425-821-3550"
}
],
"practiceLocations": [
{
"address_1": "901 Boren Ave",
"address_2": "Suite 800",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981043595",
"country_code": "US",
"telephone_number": "206-323-1900",
"fax_number": "206-323-6868",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12911 120th Ave NE Ste H120",
"address_purpose": "LOCATION",
"city": "Kirkland",
"state": "WA",
"postal_code": "980343062",
"country_code": "US",
"telephone_number": "425-823-4226",
"fax_number": "425-823-4754",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "510 8th Ave NE Ste 110",
"address_purpose": "LOCATION",
"city": "Issaquah",
"state": "WA",
"postal_code": "980295436",
"country_code": "US",
"telephone_number": "425-507-0810",
"fax_number": "425-507-0805",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8009 S 180th St Ste 105",
"address_purpose": "LOCATION",
"city": "Kent",
"state": "WA",
"postal_code": "980321042",
"country_code": "US",
"telephone_number": "425-656-0711",
"fax_number": "425-656-0344",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3101 Northup Way Ste 201",
"address_purpose": "LOCATION",
"city": "Bellevue",
"state": "WA",
"postal_code": "980041435",
"country_code": "US",
"telephone_number": "425-455-3600",
"fax_number": "425-455-3920",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3101 Northup Way Ste 102",
"address_purpose": "LOCATION",
"city": "Bellevue",
"state": "WA",
"postal_code": "980041435",
"country_code": "US",
"telephone_number": "425-507-0810",
"fax_number": "425-507-0805",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "510 8th Ave NE Ste 200",
"address_purpose": "LOCATION",
"city": "Issaquah",
"state": "WA",
"postal_code": "980295436",
"country_code": "US",
"telephone_number": "425-392-3030",
"fax_number": "425-392-2564",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WEN",
"first_name": "MARCO",
"middle_name": "NEE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-17",
"last_updated": "2024-05-29",
"certification_date": "2024-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "AK",
"license": "5460",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "WA",
"license": "MD00031147",
"primary": true
},
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "WA",
"license": "MD00031147",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2023406",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kirkland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.