Provider Demographics
NPI:1679668594
Name:KARTON, MITCHELL A (MD)
Entity Type:Individual
Prefix:DR
First Name:MITCHELL
Middle Name:A
Last Name:KARTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3248 LAKEWOOD AVE S
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98144-7230
Mailing Address - Country:US
Mailing Address - Phone:206-979-1120
Mailing Address - Fax:206-215-2555
Practice Address - Street 1:3248 LAKEWOOD AVE S
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98144-7230
Practice Address - Country:US
Practice Address - Phone:206-979-1120
Practice Address - Fax:206-215-2555
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA000018336207R00000X, 207RE0101X
WA0018336207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1019520Medicaid
000106271Medicare ID - Type Unspecified
A04853Medicare UPIN