Active NPI
Marc D Erlitz, MD
- Anesthesiology Physician
- Kirkland, WA
National Provider Identifier
1114028628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- MD00013191
- Practice address
- 12333 NE 130TH LN
Suite 500
Kirkland, WA 98034 - Phone
- (425) 353-3788
- Fax
- (425) 353-8041
- NPI assigned
- Sep 26, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MD00013191 | WA | Primary |
Addresses
Primary practice location
12333 NE 130TH LN
Suite 500
Kirkland, WA 98034
Mailing address
PO Box 94181
Everett, WA 98208
Phone (425) 353-3788
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0078551 | Other | WA | L&I |
| 1248103 | Medicaid | WA |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Anesthesia Associates, PLLC | Anesthesiology | Past | Accepting new patients |
| Matrix Anesthesia, PS | Anesthesiology | 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 and National Provider Directory roles.
-
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- Bellevue, WA
- NPI 1831146422
-
- Anesthesiology Physician
- Renton, WA
- NPI 1033165097
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195516800000",
"number": "1114028628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 94181",
"city": "EVERETT",
"state": "WA",
"postal_code": "98208",
"telephone_number": "425-353-3788",
"fax_number": "425-353-8041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12333 NE 130TH LN",
"address_2": "SUITE 500",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "98034",
"telephone_number": "425-353-3788",
"fax_number": "425-353-8041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERLITZ",
"first_name": "MARC",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-26",
"last_updated": "2007-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "WA",
"license": "MD00013191",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I",
"identifier": "0078551",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1248103",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kirkland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.