Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1700377892 Individual Practitioner Male Practitioner

Dr. Mark D Rutherford , DC

Chiropractor • Lakewood, WA

Professional Overview & Biography Verified Profile Summary

Dr. Mark Rutherford, DC is a registered healthcare professional specializing in Chiropractor in Lakewood, WA. Practice services are available at 11122 GRAVELLY LAKE DR SW under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11122 Gravelly Lake Dr Sw

Lakewood, WA 984991348

Telephone 2533558156
Fax 2069237601
Associated Practice Facility / Clinic
🏢 Fircrest Spine Center Llc Facility NPI 1356738645

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Lakewood, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.9 Yrs
State Avg: 23.7 Yrs
Regional Practice Density
34 Specialists

Practicing in Lakewood, WA (3154 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-01-25
Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License WA CH00002419

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Npi
1922455161 (WA)

Secondary Practice Locations

15245 Intl Blvd Ste 210

Seatac, WA 981882233

Phone: 2069237600

2326 Rainier Ave S Ste B

Seattle, WA 981445349

Phone: 2063293040

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Aydin Chakhalidze

Community Health Worker

NPI 1245558972

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Business Mailing Address January 25, 2021

Registered at 4916 CENTER ST, STE G, TACOMA, WA 984092348 (Tel: 2539129653)

📍
Updated Business Mailing Address March 18, 2019

Registered at 3901 6TH AVE, TACOMA, WA 984064940 (Tel: 2537567500)

NPI Profile Active May 23, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location May 23, 2018

Registered at 11122 GRAVELLY LAKE DR SW, LAKEWOOD, WA 984991348 (Tel: 2533558156)

📍
Updated Business Mailing Address May 23, 2018

Registered at 11122 GRAVELLY LAKE DR SW, LAKEWOOD, WA 984991348 (Tel: 2533558156)

👤
Provider Name / Credentials Updated May 23, 2018

Recorded as MARK RUTHERFORD, DC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 23, 2018

Chiropractor (License #CH00002419 in WA)

🟢
Initial NPI Registration & Enumeration May 23, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Mark Rutherford. Be the first to share your experience!

Sign in to leave a review for Dr. Mark Rutherford

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1700377892
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 23, 2018
Last Update: January 25, 2021
Sole Proprietor: Yes

Mailing Address

4916 Center St, Ste G

Tacoma, WA 984092348

Phone: 2539129653

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.