NPIMap

Individual provider Active NPI

Mark Litton, DO

  • Family Medicine Physician
  • Stanwood, WA
National Provider Identifier
1255775789
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OP60706377 Issued in WA
Practice address
9631 269TH St NW
Stanwood, WA 98292-8071
Phone
(360) 629-1600
Fax
(360) 629-1644
NPI assigned
Apr 26, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

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 OP60706377 WA Primary

Addresses

Primary practice location

9631 269TH St NW
Stanwood, WA 98292-8071

Mailing address

1400 E Kincaid St
Mount Vernon, WA 98274-4127

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dcevetello17435@skagit.direct-ci.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170119001327 WA Practitioner - Family Practice 6103060256 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Public Hospital Dist No 1 SkagitGroup PAC ID 6800793522, 321 clinicians

Practice addresses (Care Compare)

9631 269TH St NW
Stanwood, WA 98292-8071
Phone (360) 629-1600

Hospital & facility affiliations

  • Assured Home Health Home health agency, Mountlake Terrace, WA, CCN 507099
  • Eden Home Health Home health agency, Bellingham, WA, CCN 507105
  • Providence at Home With Compassus, Snohomish County Home health agency, Everett, WA, CCN 507065
  • Hospice of the Northwest Hospice, Mount Vernon, WA, CCN 501505
  • Skagit Valley Hospital Hospital, Mount Vernon, WA, CCN 500003
  • Cascade Valley Hospital Hospital, Arlington, WA, CCN 500060

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Public Hospital District No 1 Skagit CurrentSince Jan 6, 2017 Accepting new patients
Public Hospital Dist No 1 Skagit CurrentSince Jan 6, 2017 Accepting new patients
Public Hospital Dist No 1 Skagit Current Accepting new patients
Public Hospital Dist No 1 Skagit Past Accepting new patients

Locations

2320 Freeway Dr
Mount Vernon, WA 98273
Phone (360) 814-6800

1400 E Kincaid St
Mount Vernon, WA 98274
Phone (360) 428-2586

9631 269th St NW
Stanwood, WA 98292
Phone (360) 629-1600

Interoperability endpoints

  • Direct secure messaging: mlitton15775@skagit.direct-ci.com

Organizations & group practices 4

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": "1366934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1255775789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 E KINCAID ST",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982744127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9631 269TH ST NW",
            "city": "STANWOOD",
            "state": "WA",
            "postal_code": "982928071",
            "telephone_number": "360-629-1600",
            "fax_number": "360-629-1644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITTON",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-26",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "OP60706377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dcevetello17435@skagit.direct-ci.com",
            "affiliation": "N",
            "endpointDescription": "Provider direct address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9631 269th St NW",
            "city": "Stanwood",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982928071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Stanwood, WA

Sources for this page

Verify at the official NPI Registry.