GLEN MARK SUMAGIT
NPI 1033979687
Student in an Organized Health Care Education/Training Program in Mount Vernon, WA

Q: What is Glen Mark Sumagit's NPI number?

The NPI number for Glen Mark Sumagit is 1033979687. It was assigned to this individual provider in the NPPES registry on March 20, 2024.

Q: What is Glen Mark Sumagit's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Glen Mark Sumagit was last updated on March 20, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 20, 2024PECOS Enrolled

1415 E KINCAID ST, MOUNT VERNON, WA 98274(360) 814-2115(360) 428-2215 Get Directions Write a Review

NPPES record last updated: March 20, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Glen Mark Sumagit NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GLEN MARK SUMAGIT (NPI 1033979687) is an individual student in an organized health care education/training program in Mount Vernon, Washington and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033979687

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameGLEN MARK SUMAGIT

Location Address1415 E KINCAID STMount Vernon, WA 98274-4126

Mailing Address1415 E Kincaid StMount Vernon, WA 98274-4126 · (360) 814-2115 · Fax (360) 428-2215

Phone(360) 814-2115

Fax(360) 428-2215

Sole ProprietorNo

Enumeration DateMarch 20, 2024

NPPES CertifiedMarch 20, 2024

✔ NPI 1033979687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1415 E KINCAID ST, Mount Vernon, WA 98274

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Glen Mark Sumagit is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Leave this field empty

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMREEN KAUR

Internal Medicine