Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jack Mark Fishaut, MD

Individual provider Pediatrics Physician · NPI 1891779195

Dr. Jack Mark Fishaut, MD is a Pediatrics Physician in Friday Harbor, Washington. Licensed in Washington. Registered with an NPI since 2005.

Licensed in
WA
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

235 Blair Ave
Friday Harbor, WA 98250-0796
Phone: (360) 370-5971
Fax: (360) 370-5980
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence MD00040965 (WA)

Record details

NPI number1891779195
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 1, 2005
Last updated in NPPESMarch 7, 2023
Certification dateFebruary 11, 2022
Mailing addressPo Box 796, Friday Harbor, WA 98250-0796