Individual provider Active NPI

Jamie R Litvack, M.D., M.S.

  • Otolaryngology Physician
  • Everett, WA
National Provider Identifier
1487809703
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
MD60628497 Issued in WA
Practice address
3125 Colby Ave Ste J
Everett, WA 98201-4032
Phone
(425) 791-3093
NPI assigned
Dec 1, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X MD60628497 WA Primary

Addresses

Primary practice location

3125 Colby Ave Ste J
Everett, WA 98201-4032

Mailing address

1728 W Marine View Dr Ste 111
Everett, WA 98201-2094
Phone (425) 259-4041

Other identifiers 1

IdentifierTypeStateIssuer
1487809703MedicaidWA

Other names 1

  • Jamie L Robinson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160812000710 WA Practitioner - Otolaryngology 3173772720 Reassigns benefits to 2 organizations
I20190930000296 TX Practitioner - Otolaryngology 3173772720 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1321 Colby Ave
Everett, WA 98201-1665
Phone (425) 261-2000

1700 13TH St
Everett, WA 98201-1689
Phone (425) 252-0895

916 Pacific Ave
Everett, WA 98201-4147
Phone (425) 261-2000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sunnyside Community Hospital Association CurrentSince Sep 1, 2020 Accepting new patients
Sunnyside Community Hospital Association CurrentSince Sep 1, 2020 Accepting new patients
Western Washington Medical Group, Inc PS CurrentSince Jul 1, 2022 Accepting new patients
Western Washington Medical Group, Inc PS Otolaryngology CurrentSince Jul 1, 2022 Accepting new patients
Alaska Native Tribal Health Consortium CurrentSince Aug 30, 2019 Accepting new patients
Western Washington Medical Group, Inc PS Current Accepting new patients
Western Washington Medical Group, Inc PS Otolaryngology Past Accepting new patients

Locations

4000 Ambassador Dr
Anchorage, AK 99508
Phone (907) 729-1900

4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729

3125 Colby Ave
Ste J
Everett, WA 98201
Phone (425) 303-8806

916 Pacific Ave
Everett, WA 98201
Phone (425) 258-7123

1728 W Marine View Dr
Ste 111
Everett, WA 98201

208 N Euclid Rd
Grandview, WA 98930
Phone (509) 882-1855

2925 Allen Rd
Sunnyside, WA 98944
Phone (509) 837-4949

Interoperability endpoints

  • Direct secure messaging: jlitvack727168@direct.multicare.org

Organizations & group practices 8

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 3

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": "1228089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1487809703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1728 W MARINE VIEW DR STE 111",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982012094",
            "telephone_number": "425-259-4041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 COLBY AVE STE J",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982014032",
            "telephone_number": "425-791-3093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITVACK",
        "first_name": "JAMIE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D., M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-01",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "WA",
            "license": "MD60628497",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487809703",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "ROBINSON",
            "middle_name": "L",
            "credential": "M.D.,M.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Everett, WA

Sources for this page

Verify at the official NPI Registry.