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MARK R FICKERT PA
NPI 1760595599
Physician Assistant - Surgical in Spokane, WA

Active since August 16, 2006
4815 N ASSEMBLY ST, SPOKANE, WA 99205(509) 434-7000 Get Directions Write a Review

NPPES record last updated: October 13, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mark R Fickert Pa NPPES

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

MARK R FICKERT PA (NPI 1760595599) is an individual surgical provider in Spokane, Washington, licensed in Washington (PA10004192) and active in the NPI registry since August 2006. He maintains a secondary practice location in Coeur D Alene.

NPPES Registry Identity

NPI1760595599
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMARK R FICKERTCredential: PA
Location Address4815 N ASSEMBLY STSpokane, WA 99205-6185
Mailing Address4815 N Assembly StSpokane, WA 99205-6185 · (509) 434-7000
Phone(509) 434-7000
Sole ProprietorNo
Enumeration DateAugust 16, 2006
Last NPPES UpdateOctober 13, 2022
NPPES CertifiedOctober 13, 2022
✔ NPI 1760595599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in WA · PA10004192
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA382 (ID)
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA10004192 (WA)
4815 N ASSEMBLY ST, Spokane, WA 99205
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Secondary Practice Location 1

Location 1850 W Ironwood Dr, Suite 202Coeur D Alene, ID 83814-4903 · Phone (208) 664-2175 · Fax (208) 664-1226

Other Identifiers 3

OtherP00231292Railroad Mcr
OtherPA382ID · License
Medicaid8348484WA

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.

JEFFREY LEWIS BAILEY RN
Clinical Nurse Specialist (Psychiatric/Mental Health)
4815 N ASSEMBLY ST
SPOKANE, WA 99205
Spokane County (509) 434-7000
DR. EMMA ARELLANO HORSTKAMP OD
Optometrist
4815 N ASSEMBLY ST
SPOKANE, WA 99205
Spokane County (509) 434-7000
DR. TIM K. VAWTER PHARM.D.
Pharmacist (Pharmacotherapy)
4815 N ASSEMBLY ST
SPOKANE, WA 99205
Spokane County (509) 434-7970
MRS. JULIE LISS RN
Case Manager/Care Coordinator
4815 N ASSEMBLY ST
SPOKANE, WA 99205
Spokane County (509) 434-7608
KAMI HAMMOND PT
Physical Medicine & Rehabilitation
4815 N ASSEMBLY ST
SPOKANE, WA 99205
Spokane County (509) 879-7637
MR. FREDRICK FRANCIS EPLEY JR. CDPI
Counselor (Addiction (Substance Use Disorder))
4815 N ASSEMBLY ST
SPOKANE, WA 99205
Spokane County (509) 434-7014
DR. DEBORAH ELIZABETH KESSEL TALLUNGAN PHD
Psychologist (Clinical)
4815 N ASSEMBLY ST
SPOKANE, WA 99205
Spokane County (509) 873-4166
NIKOLUS REMINGTON RICHEY PA-C
Physician Assistant (Medical)
4815 N ASSEMBLY ST
SPOKANE, WA 99205
Spokane County (509) 434-7000

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 Fickert's NPI number?

The NPI number for Mark Fickert is 1760595599. It was assigned to this individual provider in the NPPES registry on August 16, 2006.

Where is Mark Fickert located?

Mark Fickert practices at 4815 N Assembly St, Spokane, WA 99205. The listed phone number is (509) 434-7000.

What is Mark Fickert's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Mark Fickert was last updated on October 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.