Individual provider Active NPI

Martin K Abbott, MD

  • Anesthesiology Physician
  • Touchet, WA
National Provider Identifier
1952301665
Registry record updated Oct 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD00033653 Issued in WA
Practice address
1277 Woodward Canyon Rd
Touchet, WA 99360-9709
Phone
(509) 529-1284
NPI assigned
Jul 22, 2005
Last updated
Oct 28, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2011

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 MD00033653 WA Primary

Addresses

Primary practice location

1277 Woodward Canyon Rd
Touchet, WA 99360-9709

Mailing address

PO Box 1663
Walla Walla, WA 99362-0031
Phone (509) 529-1284

Other identifiers 3

IdentifierTypeStateIssuer
050047616OtherWARAILROAD MEDICARE
1098367MedicaidWA
080739MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20050823000268 WA Practitioner - Anesthesiology 8426089129 Reassigns benefits to 2 organizations
Practice locations: Walla Walla, WA

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Loma Linda University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rainier Anesthesia Associates PCGroup PAC ID 4284523499, 69 clinicians

Practice addresses (Care Compare)

407 14TH Ave SE
Puyallup, WA 98372-3770
Phone (253) 848-6661

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Anesthesia of Richland a Division of Premier Anesthesia, LLC Anesthesiology CurrentSince Aug 7, 2013 Accepting new patients
Rainier Anesthesia Associates PC Anesthesiology CurrentSince May 1, 2018 Accepting new patients
Anesthesiology Consultants of Walla Walla PC Anesthesiology Past Accepting new patients

Locations

17700 SE 272nd St
Kent, WA 98042
Phone (253) 372-6500

104 27th Ave SE
Puyallup, WA 98374
Phone (253) 770-4099

407 14th Ave SE
Puyallup, WA 98372
Phone (253) 697-4000

888 Swift Blvd
Richland, WA 99352
Phone (509) 942-2115

1025 S 2nd Ave
Walla Walla, WA 99362
Phone (509) 525-0480

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319760000000",
    "number": "1952301665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1663",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993620031",
            "telephone_number": "509-529-1284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1277 WOODWARD CANYON RD",
            "city": "TOUCHET",
            "state": "WA",
            "postal_code": "993609709",
            "telephone_number": "509-529-1284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABBOTT",
        "first_name": "MARTIN",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-22",
        "last_updated": "2011-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WA",
            "license": "MD00033653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "050047616",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1098367",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080739",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Touchet, WA

Sources for this page

Verify at the official NPI Registry.