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MARK O FOSDAL PA C
NPI 1427262245
Physician Assistant - Medical in Seattle, WA

Active since May 10, 2007
825 EASTLAKE AVE E, SEATTLE, WA 98109(206) 288-1000 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mark O Fosdal Pa C NPPES

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

MARK O FOSDAL PA C (NPI 1427262245) is an individual medical provider in Seattle, Washington, licensed in Washington (PA10003666) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1427262245
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMARK O FOSDALCredential: PA C
Location Address825 EASTLAKE AVE ESeattle, WA 98109-4405
Mailing AddressPo Box 50095Seattle, WA 98145-5095 · (206) 543-6420
Phone(206) 288-1000
Sole ProprietorNo
Enumeration DateMay 10, 2007
Last NPPES UpdateJuly 9, 2007
✔ NPI 1427262245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in WA · PA10003666
825 EASTLAKE AVE E, Seattle, WA 98109
Open in Google Maps ↗

Other Identifiers 3

Medicaid8320798WA
Medicare UPINP37558
Medicare ID-Type UnspecifiedAB23565WA · Uw Physicians

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.

SANDHYA RAMANATHAN PANCH M.D.
Internal Medicine (Hematology)
825 EASTLAKE AVE E
SEATTLE, WA 98109
King County (206) 520-5000
AFSHIN SHAMELI MD, PHD
Pathology (Anatomic Pathology & Clinical Pathology)
825 EASTLAKE AVE E
SEATTLE, WA 98109
King County (206) 520-5000
MELISSA YEN-CHING LO DNP, ARNP
Nurse Practitioner (Pediatrics)
825 EASTLAKE AVE E
SEATTLE, WA 98109
King County (206) 861-3396
VYSHAK ALVA VENUR M.D
Internal Medicine (Medical Oncology)
825 EASTLAKE AVE E
SEATTLE, WA 98109
King County (206) 520-5700
COURTNEY JO SANDERSON
Physician Assistant
825 EASTLAKE AVE E
SEATTLE, WA 98109
King County (206) 288-1000
DR. EMILY NORPELL PALMQUIST M.D.
Surgery
825 EASTLAKE AVE E
SEATTLE, WA 98109
King County (206) 520-5000
KAITLIN ELIZABETH VERNI
Physician Assistant
825 EASTLAKE AVE E
SEATTLE, WA 98109
King County (206) 288-1000
MIKHAILA CICELY MARECKI ARNP
Nurse Practitioner (Women's Health)
825 EASTLAKE AVE E
SEATTLE, WA 98109
King County (206) 520-5000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Fosdal's NPI number?

The NPI number for Mark Fosdal is 1427262245. It was assigned to this individual provider in the NPPES registry on May 10, 2007.

Where is Mark Fosdal located?

Mark Fosdal practices at 825 Eastlake Ave E, Seattle, WA 98109. The listed phone number is (206) 288-1000.

What is Mark Fosdal's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Mark Fosdal was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.