Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1003151325 Individual Practitioner Female Practitioner

Mary Jo Bukovic , CCP

Contractor • Seattle, WA

Professional Overview & Biography Verified Profile Summary

Mary Jo Bukovic, CCP is a registered healthcare professional specializing in Contractor in Seattle, WA. Practice services are available at 1100 9TH AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1100 9th Ave

Seattle, WA 981012756

Telephone 2062236600
Associated Practice Facility / Clinic
🏢 Virginia Mason Medical Center Facility NPI 1376607234

Specialty Benchmarks & Practice Insights

Comparative analytics for Contractor in Seattle, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
30 Specialists

Practicing in Seattle, WA (234 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

Contractor Primary Specialty

NUCC Taxonomy Code: 171W00000X

A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Pegah Safaeian , DO

Physical Medicine & Rehabilitation

NPI 1003158684

Doctor of Osteopathic Medicine (D.O.)

NPI 1003965310

Doctor of Medicine (M.D.)

NPI 1013020239

Doctor of Medicine (M.D.)

Darlene Downey , ARNP

Nurse Practitioner

NPI 1013068386

Advanced Registered Nurse Practitioner

NPI 1013265628

Master of Social Work

Dr. Jack Owens , MD

Psychiatry & Neurology - Psychiatry

NPI 1013335850

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 28, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location November 28, 2012

Registered at 1100 9TH AVE, SEATTLE, WA 981012756 (Tel: 2062236600)

📍
Updated Business Mailing Address November 28, 2012

Registered at 4043 S ABILENE CIR, #A, AURORA, CO 800147377 (Tel: 3036274008)

👤
Provider Name / Credentials Updated November 28, 2012

Recorded as MARY JO BUKOVIC, CCP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 28, 2012

Contractor

🟢
Initial NPI Registration & Enumeration November 28, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1003151325
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 28, 2012
Last Update: November 28, 2012
Sole Proprietor: No

Mailing Address

4043 S Abilene Cir, #a

Aurora, CO 800147377

Phone: 3036274008

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.