Healthcare Provider Details

I. General information

NPI: 1427168483
Provider Name (Legal Business Name): MARK E HILL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 02/14/2023
Certification Date: 02/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5133 S LUCILE ST
SEATTLE WA
98118-2530
US

IV. Provider business mailing address

5133 S LUCILE ST
SEATTLE WA
98118-2530
US

V. Phone/Fax

Practice location:
  • Phone: 206-617-9210
  • Fax:
Mailing address:
  • Phone: 206-617-9210
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number00028963
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberMD00028963
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License NumberMD00028963
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: