Mark W. Sheafor, DPM, PS, Inc

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

PO60134920 Issued in WA

Legal business name

MARK W. SHEAFOR, DPM, PS, INC

Practice address

3120 Squalicum Pkwy Ste 2
Bellingham, WA 98225-1934

Phone

(360) 647-0557

Fax

(360) 733-2892

NPI assigned

Oct 5, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Mark Whitman Sheafor, DPMNPI 1346561446

Title

President

Phone

(360) 647-0557

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 1

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

• Mark Whitman Sheafor, DPM

  • Foot & Ankle Surgery Podiatrist
  • Bellingham, WA
  • NPI 1346561446
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1286236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412726400000",
    "number": "1972812196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 SQUALICUM PKWY STE 2",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251934",
            "telephone_number": "360-647-0557",
            "fax_number": "360-733-2892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 SQUALICUM PKWY STE 2",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251934",
            "telephone_number": "360-647-0557",
            "fax_number": "360-733-2892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK W. SHEAFOR, DPM, PS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-05",
        "last_updated": "2014-10-08",
        "status": "A",
        "authorized_official_last_name": "SHEAFOR",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "WHITMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-647-0557",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WA",
            "license": "PO60134920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ESSENCE",
            "identifier": "1346561446AA",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DSHS",
            "identifier": "1054194",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DQ7833",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marijoyce R. Leynes, DDS, MSD, P.S., Inc. (Cascade Oral Medicine Inc., P.S.)
• Marilene Silva (Empowered Force Counseling PLLC)
• Lauren Marino, LMP
• Ryan Marino, LMP
• Mark Breinholt DDS PLLC
• Mark W. Sheafor, DPM, PS, Inc.
• Nahid Markosian, PH.D.
• Jessie Marks, ARNP
• Richard Marquez
• George William Marrero-Lenches

• Foot & Ankle Surgery Podiatrist in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Foot & Ankle Surgery Podiatrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.