Individual provider Active NPI

Amity Marriott, MD

  • Obstetrics & Gynecology Physician
  • Silverdale, WA
National Provider Identifier
1326338286
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD60481780 Issued in WA
Practice address
9750 Levin Rd NW
Silverdale, WA 98383-8399
Phone
(360) 307-7202
Fax
(360) 698-6600
NPI assigned
Apr 12, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD60481780 WA Primary

Addresses

Primary practice location

9750 Levin Rd NW
Silverdale, WA 98383-8399

Mailing address

9750 Levin Rd NW
Silverdale, WA 98383-8399
Phone (360) 698-6515

Other practice location 1

420 Delaware St SE
MMC #395
Minneapolis, MN 55455-0341
Phone (612) 626-6628

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
I20150811003861 WA Practitioner - Obstetrics/Gynecology 0446565105 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Warren Alpert Medical School of Brown University, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kitsap OBGYN PLLCGroup PAC ID 4082925748, 8 clinicians

Practice addresses (Care Compare)

9750 Levin Rd NW
Silverdale, WA 98383-8399
Phone 3606986515133

Hospital & facility affiliations

  • St Michael Medical Center Hospital, Silverdale, WA, CCN 500039

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD60481780WAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg Washington, PC Obstetrics & Gynecology CurrentSince Nov 11, 2018 Accepting new patients
Kitsap OBGYN PLLC CurrentSince Jul 1, 2015 Accepting new patients
Commonspirit Washington Community Care Past Accepting new patients

Locations

20700 Bond Rd NE
Bldg B
Poulsbo, WA 98370
Phone (206) 451-4308

20700 Bond Rd NE
Poulsbo, WA 98370
Phone (360) 598-3141

1800 NW Myhre Rd
Silverdale, WA 98383
Phone (360) 337-8800

9750 Levin Rd NW
Silverdale, WA 98383
Phone (360) 307-7202

Interoperability endpoints

  • FHIR API: https://kitsapobgyn.mmi.prod.fhir.ema-api.com/fhir/r4/

Organizations & group practices 3

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 1

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": "1302566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1326338286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9750 LEVIN RD NW",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838399",
            "telephone_number": "360-698-6515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9750 LEVIN RD NW",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838399",
            "telephone_number": "360-307-7202",
            "fax_number": "360-698-6600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 Delaware St SE",
            "address_2": "MMC #395",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554550341",
            "country_code": "US",
            "telephone_number": "612-626-6628",
            "fax_number": "612-626-0665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARRIOTT",
        "first_name": "AMITY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-12",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WA",
            "license": "MD60481780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silverdale, WA

Sources for this page

Verify at the official NPI Registry.