Mark D Kiviat, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

MD00010647 Issued in WA

Practice address

500 17TH Ave
Stea10C
Seattle, WA 98122-5711

Phone

(206) 860-6656

Fax

(206) 320-3396

NPI assigned

Dec 21, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234915200000",
    "number": "1710041793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 84026",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981248426",
            "telephone_number": "206-860-6656",
            "fax_number": "206-320-3396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 17TH AVE",
            "address_2": "STEA10C",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981225711",
            "telephone_number": "206-860-6656",
            "fax_number": "206-320-3396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIVIAT",
        "first_name": "MARK",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2009-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "WA",
            "license": "MD00010647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1523406",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy J. Kittell
• Jennifer Kittleson, LCMHC
• Sepideh Kittleson
• Nicolette Barbara Kittrell
• Leah Naomi Kiviat, MD
• Nancy C Kiviat
• Daniel R Kivlahan, PHD
• Reid Kiyabu, ND
• Elizabeth Kisako Kiyasu
• Julie Kiyonaga, PT

• Urology Physician in Seattle, WA
• Providers in Seattle, WA by specialty
• Urology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2009; 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.