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

Mark R Fickert, PA

Individual provider Physician Assistant · NPI 1760595599

Mark R Fickert, PA is a Physician Assistant in Spokane, Washington. Works from 2 locations. Licensed in Idaho and Washington.

Licensed in
ID, WA
In the registry since
2006
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

4815 N Assembly St
Spokane, WA 99205-6185
Phone: (509) 434-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 850 W Ironwood Dr, Coeur D Alene, ID 83814-4903 — (208) 664-2175

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA10004192 (WA)
Physician Assistant Taxonomy 363A00000X · Licence PA382 (ID)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA10004192 (WA)

Record details

NPI number1760595599
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 16, 2006
Last updated in NPPESOctober 13, 2022
Certification dateOctober 13, 2022

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