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Active NPI 1891797247 Individual Practitioner Male Practitioner

Mark Gardner , PA-C

Physician Assistant • Sunnyside, WA

Professional Overview & Biography Verified Profile Summary

Mark Gardner, PA-C is a registered healthcare professional specializing in Physician Assistant in Sunnyside, WA. Practice services are available at 803 E LINCOLN AVE STE 3 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

803 E Lincoln Ave Ste 3

Sunnyside, WA 989442383

Telephone 5098377551
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Sunnyside, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.7 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
18 Specialists

Practicing in Sunnyside, WA (3774 Statewide)

Telehealth Adoption Rate
5.6% 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: 2026-05-07
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WA PA.PA.60113333

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License UT 53333582

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
2007665 (WA)

Practice Associates & Co-Workers

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

3 Associated Practitioners
NPI 1679733604
NPI 1851590392

Doctor of Medicine (M.D.)

NPI 1962414326

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location May 07, 2026

Registered at 803 E LINCOLN AVE STE 3, SUNNYSIDE, WA 989442383 (Tel: 5098377551)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 07, 2026

Physician Assistant (License #PA.PA.60113333 in WA)

📍
Updated Practice Location March 07, 2025

Registered at 2201 E EDISON RD, SUNNYSIDE, WA 989449214 (Tel: 5098373090)

📍
Updated Business Mailing Address March 07, 2025

Registered at PO BOX 719, SUNNYSIDE, WA 989440719 (Tel: 5098371617)

NPI Profile Active October 29, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location October 29, 2009

Registered at 812 MILLER AVE, SUITE C, SUNNYSIDE, WA 989442374 (Tel: 5098377551)

📍
Updated Business Mailing Address October 29, 2009

Registered at 812 MILLER AVE, SUITE C, SUNNYSIDE, WA 989442374 (Tel: 5098377551)

👤
Provider Name / Credentials Updated October 29, 2009

Recorded as MARK GARDNER, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 29, 2009

Physician Assistant (License #53333582 in UT)

🟢
Initial NPI Registration & Enumeration August 15, 2005

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: 1891797247
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 15, 2005
Last Update: May 07, 2026
Sole Proprietor: No

Mailing Address

Po Box 719

Sunnyside, WA 989440719

Phone: 5098371617

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.