Kirby J Lautman, MD

Primary specialty

Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X

License

MD00024766 Issued in WA

Practice address

34612 6TH Ave S
Suite 200
Federal Way, WA 98003-8723

Phone

(253) 661-2594

Fax

(253) 661-2694

NPI assigned

May 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/2229/brand/3/csg/621/fhir/r4

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.

• Surgical Associates Northwest, P.C.

  • Urology Physician
  • Federal Way, WA
  • NPI 1427128198

  Otolaryngology/Facial Plastic Surgery

  Medicare reassignment NPD
• Surgical Associates Northwest, PC

  • Ambulatory Surgical Clinic/Center
  • Federal Way, WA
  • NPI 1629016555
  NPD

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325808000000",
    "number": "1689620270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34612 6TH AVE S",
            "address_2": "SUITE 200",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980038723",
            "telephone_number": "253-661-2594",
            "fax_number": "253-661-2694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34612 6TH AVE S",
            "address_2": "SUITE 200",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980038723",
            "telephone_number": "253-661-2594",
            "fax_number": "253-661-2694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUTMAN",
        "first_name": "KIRBY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2012-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "WA",
            "license": "MD00024766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1427128198",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Denise A Latham, LMP
• Jennifer Ann Latham, RN
• Shannon Michal Latta, ARNP
• Helena Laubach
• Anne Elizabeth Laurel
• Julia Grace Law, RN
• Sin-Ying Law, DDS
• Mercedes Paris Lawrence
• Boris Lazarev, M.D.
• Cam-Thu Le, PHARM.D.

• Otolaryngology/Facial Plastic Surgery Physician in Federal Way, WA
• Providers in Federal Way, WA by specialty
• Otolaryngology/Facial Plastic Surgery Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.