Individual provider Active NPI

Jonathan Kitchin, MD

  • Anesthesiology Physician
  • Tacoma, WA
National Provider Identifier
1730265349
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD24922 Issued in OR
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220707002571 OR Practitioner - Anesthesiology 2567541683 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD24922ORMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Salem Health CurrentSince Jun 18, 2022 Accepting new patients
Salem Health CurrentSince Jun 18, 2022 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.

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

Sources for this page

Verify at the official NPI Registry.