Active NPI
Stephen G Litchfield, DO
- Family Medicine Physician
- Yakima, WA
National Provider Identifier
1003929423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OP00000788
- Practice address
- 210 S 11TH Ave
Suite 44
Yakima, WA 98902-3293 - Phone
- (509) 248-4586
- Fax
- (509) 576-8857
- NPI assigned
- Aug 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OP00000788 | WA | Primary |
Addresses
Primary practice location
210 S 11TH Ave
Suite 44
Yakima, WA 98902-3293
Mailing address
210 S 11TH Ave
Suite 44
Yakima, WA 98902-3293
Phone (509) 248-4586
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40208000 | Other | WA | LABOR & INDUSTRIES |
| 600400144001 | Other | WA | UBI |
| 1434208 | Medicaid | WA | |
| 035099 | Other | WA | AOA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OP00000788 | WA | MD | Family Medicine Physician |
| 025207 | WA | MD | Rehabilitation Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003929423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 S 11TH AVE",
"address_2": "SUITE 44",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989023293",
"telephone_number": "509-248-4586",
"fax_number": "509-576-8857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 S 11TH AVE",
"address_2": "SUITE 44",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989023293",
"telephone_number": "509-248-4586",
"fax_number": "509-576-8857"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LITCHFIELD",
"first_name": "STEPHEN",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "OP00000788",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & INDUSTRIES",
"identifier": "40208000",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBI",
"identifier": "600400144001",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1434208",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AOA",
"identifier": "035099",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yakima, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.