Individual provider Active NPI

Marse L McNaughton, MD

  • Family Medicine Physician
  • Tacoma, WA
National Provider Identifier
1073519492
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
15856 Issued in WA
Practice address
3733 S Thompson Ave
Tacoma, WA 98418-5013
Phone
(253) 472-4473
Fax
(253) 474-3056
NPI assigned
Jun 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 15856 WA Primary

Addresses

Primary practice location

3733 S Thompson Ave
Tacoma, WA 98418-5013

Mailing address

3733 S Thompson Ave
Tacoma, WA 98418-5013
Phone (253) 472-4473

Other identifiers 1

IdentifierTypeStateIssuer
1220409MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100928001769 WA Practitioner - General Practice 7012033913 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Betteridge and McNaughton PS IncGroup PAC ID 7719875814, 2 clinicians

Practice addresses (Care Compare)

3733 S Thompson Ave
Tacoma, WA 98418-5013
Phone (253) 472-4473

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions72
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
15856WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Betteridge & McNaughton PS Inc Family Medicine CurrentSince Jul 1, 1977 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

3733 S Thompson Ave
Tacoma, WA 98418
Phone (206) 472-4473

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1073519492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3733 S THOMPSON AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984185013",
            "telephone_number": "253-472-4473",
            "fax_number": "253-474-3056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3733 S THOMPSON AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984185013",
            "telephone_number": "253-472-4473",
            "fax_number": "253-474-3056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNAUGHTON",
        "first_name": "MARSE",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "15856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1220409",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.