Individual provider Active NPI

Martha G Panitch, MD PHD

  • Internal Medicine Physician
  • Seattle, WA
National Provider Identifier
1083927008
Registry record updated Aug 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD00030175 Issued in WA
Practice address
3834 NE 86TH St
Seattle, WA 98115-3729
Phone
(206) 524-0129
Fax
(206) 522-1482
NPI assigned
Jul 19, 2010
Last updated
Aug 23, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD00030175 WA Primary

Addresses

Primary practice location

3834 NE 86TH St
Seattle, WA 98115-3729

Mailing address

3834 NE 86TH St
Seattle, WA 98115-3729
Phone (206) 524-0129

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 Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MD00030175WAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Steneker Family Medicine Past Accepting new patients
Benepro P.C. Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1279497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282521600000",
    "number": "1083927008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3834 NE 86TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981153729",
            "telephone_number": "206-524-0129",
            "fax_number": "206-522-1482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3834 NE 86TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981153729",
            "telephone_number": "206-524-0129",
            "fax_number": "206-522-1482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANITCH",
        "first_name": "MARTHA",
        "middle_name": "G",
        "credential": "MD PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-19",
        "last_updated": "2010-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00030175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.