Mark D Hegewald (NPI# 1700825304, PAC ID# 2264498963) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1700825304 |
| PAC ID by PECOS | 2264498963 |
| Professional Enrollment ID | I20041204000070 |
| Full Name | Mark D Hegewald |
| Organization Legal Name | SURGICAL ASSOCIATES NORTHWEST PC |
| Address |
34612 6th Ave S Suite 210 Federal Way WA 98003-8723 |
| Phone Number | 2539271882 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE |
| Graduation Year | 1983 |
| Primary Specialty | OTOLARYNGOLOGY |
| Group Practice PAC ID | 3971596024 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 500129 | TACOMA GENERAL ALLENMORE HOSPITAL |
| 500141 | ST FRANCIS COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 34612 6th Ave S, Suite 210, Federal Way, WA 98003-8723 | 2539271882 | SURGICAL ASSOCIATES NORTHWEST PC |
| Organization Legal Name | SURGICAL ASSOCIATES NORTHWEST PC |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anthony P Caruso | Urology | Surgical Associates Northwest PC | 202 Division St N, Suite 100, Auburn, WA 98001-4939 |
| Ryan E Stern | Otolaryngology | Surgical Associates Northwest PC | 34612 6th Ave S, Suite 210, Federal Way, WA 98003-8723 |
| Yi C Hsieh | Urology | Surgical Associates Northwest PC | 202 Division St N, Suite 100, Auburn, WA 98001-4939 |
| Ken Haberman | Urology | Surgical Associates Northwest PC | 202 Division St N, Suite 100, Auburn, WA 98001-4939 |
| Nancy K Renne | Qualified Audiologist | Surgical Associates Northwest PC | 202 Division St N, Suite 100, Auburn, WA 98001-4939 |
| Kirby J Lautman | Otolaryngology | Surgical Associates Northwest PC | 34612 6th Ave S, Suite 210, Federal Way, WA 98003-8723 |
| Mark B Emery | Otolaryngology | Surgical Associates Northwest PC | 34612 6th Ave S, Suite 210, Federal Way, WA 98003-8723 |
| Kevin J Ward | Urology | Surgical Associates Northwest PC | 202 Division St N, Suite 100, Auburn, WA 98001-4939 |
| Stephen H King | Urology | Surgical Associates Northwest PC | 202 Division St N, Suite 100, Auburn, WA 98001-4939 |
| Shane Selassie Anderson | Pathology | Surgical Associates Northwest PC | 202 Division St N, Suite 100, Auburn, WA 98001-4939 |
| Street Address |
34612 6TH AVE S SUITE 210 |
| City | FEDERAL WAY |
| State | WA |
| Zip | 98003-8723 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan E Stern | Otolaryngology | Surgical Associates Northwest PC | 34612 6th Ave S, Suite 210, Federal Way, WA 98003-8723 |
| Kirby J Lautman | Otolaryngology | Surgical Associates Northwest PC | 34612 6th Ave S, Suite 210, Federal Way, WA 98003-8723 |
| Mark B Emery | Otolaryngology | Surgical Associates Northwest PC | 34612 6th Ave S, Suite 210, Federal Way, WA 98003-8723 |
| Sally J Compere | Anesthesiology | 34612 6th Ave S, Suite 110, Federal Way, WA 98003-8723 | |
| Robert L Frerichs | Anesthesiology | Robert L Frerichs Md Pllc | 34612 6th Ave S, Federal Way, WA 98003-6704 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly A Miles | Clinical Social Worker | Pacmed Clinics | 31833 B Gateway Ctr Blvd S, Pacmed Clinics Federal Way, Federal Way, WA 98003-0000 |
| Ashley Spreda | Clinical Social Worker | Pacmed Clinics | 31833 B Gateway Ctr Blvd S, Pacmed Clinics Federal Way, Federal Way, WA 98003-0000 |
| Judith D Nielsen | Internal Medicine | Pacmed Clinics | 31833 B Gateway Ctr Blvd S, Pacmed Clinics Federal Way, Federal Way, WA 98003-0000 |
| Scott Anthony Trapman | Family Medicine | Pacmed Clinics | 31833 B Gateway Ctr Blvd S, Pacmed Clinics Federal Way, Federal Way, WA 98003-0000 |
| Alexandria Majcher | Clinical Social Worker | Pacmed Clinics | 31833 B Gateway Ctr Blvd S, Pacmed Clinics Federal Way, Federal Way, WA 98003-0000 |
| Frank Joseph Rossi Jr. | Chiropractic | Redondo Family Chiropractic Inc Ps | 28815 Pacific Hwy S 6, Federal Way, WA 98003-3876 |
| Laura H Lee | Optometry | Drs Jackson and Lee Inc | 28815 Pacific Hwy S, Suite 2, Federal Way, WA 98003-3876 |
| Andrew Michael Winger | Chiropractic | 28815 Pacific Hwy S, Suite 6, Federal Way, WA 98003-3876 | |
| Duane L Jackson Jr. | Optometry | Drs Jackson and Lee Inc | 28815 Pacific Hwy S, Suite 2, Federal Way, WA 98003-3876 |
| Kara K Rasplica | Nurse Practitioner | Franciscan Medical Group | 30809 1st Ave S, Federal Way, WA 98003-4074 |
| Find all physicians in zip 98003 | |||
| City | FEDERAL WAY |
| Zip Code | 98003 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | FEDERAL WAY + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on Mark D Hegewald.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.