Individual provider Active NPI

Mary Elizabeth Platt, D.O.

  • Family Medicine Physician
  • Fife, WA
National Provider Identifier
1972983146
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
60762952 Issued in WA
Practice address
3700 Pacific Hwy E Ste 411
Fife, WA 98424-1163
Phone
(253) 392-2400
NPI assigned
Jun 3, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 60762952 WA Primary
Hospitalist Physician 208M00000X OP60762952 WA

Addresses

Primary practice location

3700 Pacific Hwy E Ste 411
Fife, WA 98424-1163

Mailing address

3700 Pacific Hwy E Ste 411
Fife, WA 98424-1163
Phone (253) 392-2400

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181025002115 WA Practitioner - Hospitalist 7012225261 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
60762952WAMDFamily Medicine Physician
OP60762952WAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Sound Inpatient Physicians PLLC Family Medicine CurrentSince Apr 5, 2021 Accepting new patients
Multicare Health System Current Accepting new patients
Cogent Healthcare of Washington, PC Family Medicine CurrentSince Apr 5, 2021 Accepting new patients
Multicare Health System CurrentSince Sep 4, 2018 Accepting new patients
Multicare Health System Family Medicine CurrentSince Sep 4, 2018 Accepting new patients
Puyallup Tribal Health Authority Current Accepting new patients
Puyallup Tribal Health Authority CurrentSince Sep 8, 2018 Accepting new patients
South Sound Inpatient Physicians PLLC Family Medicine CurrentSince Apr 5, 2021 Accepting new patients
Qwibil Clinic PastSince May 7, 2024 Accepting new patients

Locations

202 N Division St
Auburn, WA 98001
Phone (253) 333-2562

16251 Sylvester Rd SW
Burien, WA 98166
Phone (206) 244-9970

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

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

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

2000 Hospital Dr
Sedro Woolley, WA 98284
Phone (360) 856-6021

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

2209 E 32nd St
Tacoma, WA 98404
Phone (206) 593-0244

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: maryelizabeth.platt@808496779165700.direct.elationemr.com

Organizations & group practices 9

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": "1433289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1972983146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 PACIFIC HWY E STE 411",
            "city": "FIFE",
            "state": "WA",
            "postal_code": "984241163",
            "telephone_number": "253-392-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 PACIFIC HWY E STE 411",
            "city": "FIFE",
            "state": "WA",
            "postal_code": "984241163",
            "telephone_number": "253-392-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLATT",
        "first_name": "MARY ELIZABETH",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-03",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "60762952",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "WA",
            "license": "OP60762952",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fife, WA

Sources for this page

Verify at the official NPI Registry.