Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Sean Patrick Mackie, PA-C

Individual provider Physician Assistant · NPI 1912152265

Mr. Sean Patrick Mackie, PA-C is a Physician Assistant in Renton, Washington. Qualified in 2008, 18 years ago. Practices with Proliance Surgeons Inc P S, a 394-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
18
Licensed in
WA
In the registry since
2008
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4011 Talbot Rd S Ste 300
Renton, WA 98055-5773
Phone: (425) 656-5060
Fax: (425) 656-5047
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA60056491 (WA)
Physician Assistant Taxonomy 363A00000X · Licence PA 60056491 (WA)

Record details

NPI number1912152265
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 28, 2008
Last updated in NPPESJune 29, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Proliance Surgeons Inc P S — 394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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