Mary Beth Wittman M.D. PLLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

MD00036040 Issued in WA

Legal business name

MARY BETH WITTMAN M.D. PLLC

Practice address

12303 NE 130TH LN Ste 450
Kirkland, WA 98034-3032

Phone

(425) 899-5000

Fax

(425) 899-5006

NPI assigned

Nov 11, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Mary Beth Wittman, M.D.

Title

Owner

Phone

(425) 899-5000

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1226361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226361600000",
    "number": "1861646390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12303 NE 130TH LN STE 450",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980343032",
            "telephone_number": "425-899-5000",
            "fax_number": "425-899-5006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12303 NE 130TH LN STE 450",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980343032",
            "telephone_number": "425-899-5000",
            "fax_number": "425-899-5006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY BETH WITTMAN M.D. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-11",
        "last_updated": "2008-11-11",
        "status": "A",
        "authorized_official_last_name": "WITTMAN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-899-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "WA",
            "license": "MD00036040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7104417",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Akiko Maruyama, L.AC, EAMP
• Gordon E Marx, P.T.
• Laura Anne Marx, RBT
• Loretta O Marx, P.T.
• Victoria Lynn Marxen, MD
• Tais Masala Finale
• Mindy Mason
• Ronald E Mason, MD
• Sara Masoum, RN
• Massa Wellness LLC

• Obstetrics & Gynecology Physician in Kirkland, WA
• Providers in Kirkland, WA by specialty
• Obstetrics & Gynecology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2008; 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.