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

Q: What is the provider's specialty?

The provider's specialty is Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.

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: July 19, 2026.

Table of Contents

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Insurance Plans Accepted
Secondary Locations
Other Providers Same Location
Frequently Asked Questions

Individual
Male
Physician Assistant
Surgical

About MARK FICKERT

This page provides the complete NPI Profile along with additional information for Mark Fickert, a provider established in Spokane, Washington with a medical specialization in Physician Assistant, focusing in surgical . The healthcare provider is registered in the NPI registry with number 1760595599 assigned on August 2006. The practitioner's primary taxonomy code is 363AS0400X with license number PA10004192 (WA). The provider is registered as an individual and his NPI record was last updated 4 years ago.

NPI: 1760595599 Verify this NPI
Provider Name: MARK R FICKERT PA
Gender: Male
Entity Type: Individual
Location Address: 4815 N ASSEMBLY ST SPOKANE, WA 99205
Location Phone: (509) 434-7000
Mailing Address: 4815 N ASSEMBLY ST SPOKANE, WA 99205
Mailing Phone: (509) 434-7000
Is Sole Proprietor?: No
Enumeration Date: 08-16-2006
Last Update Date: 10-13-2022
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Location Map

Secondary Locations

850 W Ironwood Dr Suite 202
Coeur D Alene, ID 83814
(208) 664-2175

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Physician Assistant Surgical
Taxonomy Code: 363AS0400X
Type: Physician Assistants & Advanced Practice Nursing Providers
License No.: PA10004192
License State: WA

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No.	Taxonomy Code	Type	Classification / Specialization	License No. (State)
1	363A00000X	Physician Assistants & Advanced Practice Nursing Providers	Physician Assistant	PA382 (ID)
2	363AM0700X	Physician Assistants & Advanced Practice Nursing Providers	Physician Assistant Medical	PA10004192 (WA)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.