Active NPI
Marina Leith, DO
- Family Medicine Physician
- Tacoma, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MED-PHY-LIC-129248
- Practice address
- 1202 Martin Luther King Jr Way
Tacoma, WA 98405-3926 - Phone
- (253) 441-4742
- Fax
- (253) 442-8790
- NPI assigned
- Apr 6, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MED-PHY-LIC-129248 | MT | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
1202 Martin Luther King Jr Way
Tacoma, WA 98405-3926
Mailing address
1202 Martin Luther King Jr Way
Tacoma, WA 98405-3926
Phone (253) 441-4742
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Rocky Vista University College of Osteopathic Med, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
316 N 3Rd St
Hamilton, MT 59840-2480
Phone (406) 541-0032
3334 DVN LN
Darby, MT 59829-9736
Phone (406) 375-4142
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MED-PHY-LIC-129248 | MT | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marcus Daly Memorial Hospital Corporation | Current | Accepting new patients | |
| Marcus Daly Memorial Hospital Corporation | Current | Accepting new patients | |
| Marcus Daly Memorial Hospital Corporation | Current | Accepting new patients |
Locations
1224 W Main St
Hamilton, MT 59840
Phone (406) 375-4823
1200 Westwood Dr
Hamilton, MT 59840
Phone (406) 363-2211
1200 Westwood Dr
Ste I
Hamilton, MT 59840
Phone (406) 363-1100
3975 US Highway 93 N
Stevensville, MT 59870
Phone (406) 375-4824
Organizations & group practices 4
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.
-
dba Bitterroot Health - Daly Hospital
- Critical Access Hospital
- Hamilton, MT
- NPI 1659475846
-
- Federally Qualified Health Center (FQHC)
- Hamilton, MT
- NPI 1003146812
-
dba Bitterroot Health - Nephrology
- Nephrology Physician
- Hamilton, MT
- NPI 1235997958
-
dba Bitterroot Health-Eye Clinic
- Ophthalmology Physician
- Hamilton, MT
- NPI 1285676445
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Bitterroot Health - Daly Hospital
- Critical Access Hospital
- Hamilton, MT
- NPI 1659475846
-
dba Community Medical Center
- General Acute Care Hospital
- Missoula, MT
- NPI 1346642899
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701216000000",
"number": "1871122317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1202 MARTIN LUTHER KING JR WAY",
"city": "TACOMA",
"state": "WA",
"postal_code": "984053926",
"telephone_number": "253-441-4742",
"fax_number": "253-442-8790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1202 MARTIN LUTHER KING JR WAY",
"city": "TACOMA",
"state": "WA",
"postal_code": "984053926",
"telephone_number": "253-441-4742",
"fax_number": "253-442-8790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEITH",
"first_name": "MARINA",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-06",
"last_updated": "2023-11-29",
"certification_date": "2023-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MT",
"license": "MED-PHY-LIC-129248",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.