Active NPI
Jonathan Kitchin, MD
- Anesthesiology Physician
- Tacoma, WA
National Provider Identifier
1730265349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- MD24922
- Practice address
- Madigan Army Medical Center
Ft Lewis Attn: Doaos
Tacoma, WA 98431-5000 - Phone
- (253) 968-1706
- Fax
- (253) 968-5034
- NPI assigned
- Oct 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MD24922 | OR | Primary |
Addresses
Primary practice location
Madigan Army Medical Center
Ft Lewis Attn: Doaos
Tacoma, WA 98431-5000
Mailing address
602 Union Avenue
Steilacoom, WA 98388
Phone (253) 596-9301
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD24922 | OR | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salem Health | Current | Accepting new patients | |
| Salem Health | Current | Accepting new patients | |
| Salem Health | Current | Accepting new patients |
Locations
665 Winter St SE
Salem, OR 97301
Phone (503) 370-5634
890 Oak St SE
Salem, OR 97301
Phone (503) 585-0830
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.
-
- General Acute Care Hospital
- Salem, OR
- NPI 1265431829
-
- Durable Medical Equipment & Medical Supplies
- Keizer, OR
- NPI 1487434775
-
- Family Medicine Physician
- Woodburn, OR
- NPI 1578112066
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730265349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "602 UNION AVENUE",
"city": "STEILACOOM",
"state": "WA",
"postal_code": "98388",
"telephone_number": "253-596-9301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MADIGAN ARMY MEDICAL CENTER",
"address_2": "FT LEWIS ATTN: DOAOS",
"city": "TACOMA",
"state": "WA",
"postal_code": "984315000",
"telephone_number": "253-968-1706",
"fax_number": "253-968-5034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KITCHIN",
"first_name": "JONATHAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OR",
"license": "MD24922",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
- Heather Deann Kissel, DO
- Blase Christian Kissinger, RN
- Lori K Kitabayashi, PHARM.D
- Sean Kia'I Kitaoka, PHD
- Dajae Renee Kitchen, BEHAVIOR TECHNICIAN
- Charles Aaron Kitley II, M.D., B.S.
- Katherine Kittlitz
- Angela M Kitzmiller, CCC, SLP
- Brittany Ann Klaassen Van Oorschot, ARNP
- Jagpal Singh Klair, M.B.B.S.
Sources for this page
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.