Provider Demographics
NPI:1609961507
Name:MARKEZICH, AMY JANE (MD)
Entity type:Individual
Prefix:DR
First Name:AMY
Middle Name:JANE
Last Name:MARKEZICH
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:777 108TH AVE NE STE 2230
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-5146
Mailing Address - Country:US
Mailing Address - Phone:425-300-9811
Mailing Address - Fax:425-300-9813
Practice Address - Street 1:777 108TH AVE NE STE 2230
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-5146
Practice Address - Country:US
Practice Address - Phone:425-300-9810
Practice Address - Fax:425-300-9813
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD60084614207R00000X, 207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease