OrganizationActive
Mercer Island Family Medicine, PLLC
NPI 1194928697 · Family Medicine Physician · Mercer Island, WA
Provider details
- NPI number
- 1194928697
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Scott Fannin, President(586) 850-4645
- License
- OP00002196 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3003 Island Crest Way
Mercer Island, WA 98040-2998
Phone: (586) 850-4645
Street-level locationGet directions
Mailing address
54196 Katherine Wood Dr
Macomb, MI 48042-2315
Registry dates
- Enumerated
- 2007-06-11
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.