Provider Demographics
NPI:1639144728
Name:MARKEL, THOMAS OWEN (MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:OWEN
Last Name:MARKEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:19020 33RD AVE W
Mailing Address - Street 2:STE 210
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98036-4748
Mailing Address - Country:US
Mailing Address - Phone:425-563-1500
Mailing Address - Fax:425-563-1374
Practice Address - Street 1:2211 NE 139TH ST
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98686-2742
Practice Address - Country:US
Practice Address - Phone:360-566-4840
Practice Address - Fax:360-566-4842
Is Sole Proprietor?:No
Enumeration Date:2006-02-22
Last Update Date:2021-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN416972085R0202X
WAMD609530882085R0202X, 2085B0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085B0100XAllopathic & Osteopathic PhysiciansRadiologyBody Imaging
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0440158OtherL & I - RADIA
WA0440156OtherL & I - RADIA
WA0440160OtherL & I - SWEDISH RADIA
WA0440169OtherL & I - SEATTLE RADIOLOGY
WA0440171OtherL & I - VANCOUVER RADIOLOGISTS
WA0440163OtherL & I - EVERGREEN RADIA
4137305OtherBCBS
WA2181852Medicaid
WA0440166OtherL & I - SOUTH SOUND RADIOLOGY
4138638OtherBCBS