Mary Elizabeth Zeitner, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA10004675 Issued in WA

Practice address

21601 76TH Avenue West
Edmonds, WA 98026-9905

Phone

(425) 640-4090

Fax

(425) 640-4446

NPI assigned

Jan 17, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Public Hospital District 2 of Snohomish County

  • Pain Clinic/Center
  • Edmonds, WA
  • NPI 1407167513
  NPD (past)

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497807663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "956 MAPLE WAY",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980203332",
            "telephone_number": "425-640-2994",
            "fax_number": "707-248-0722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21601 76TH AVENUE WEST",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980269905",
            "telephone_number": "425-640-4090",
            "fax_number": "425-640-4446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEITNER",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA10004675",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OH",
            "license": "50-00-1199",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kilbo Yun, DC
• Zach Streit DDS PLLC
• Angelina M Zappia, MD
• Erinn Zavaglia, LMFTA
• Edan Zebooloon, MA, LMHCA
• Zen Mind & Body, PLLC
• Alan Jonathan Zend, DO
• Raven Zerkich
• Rahel Zewdu, RN
• Xin Zhang

• Medical Physician Assistant in Edmonds, WA
• Providers in Edmonds, WA by specialty
• Medical Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.