DR. MD John Burk Gossom, NPI 1245221886
Geriatric Medicine (Family Medicine) Physician in Friday Harbor, WA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1245221886
NPI Entity Type Individual
Provider Name DR. MD John Burk Gossom
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 689 Airport Center Dr, Ste B, Friday Harbor, WA, US
Provider Mailing Address Po Box 1550, Friday Harbor, WA, US, 982501550
Is Sole Proprietor? Yes
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Primary Taxonomy

Taxonomy Code

207QG0300X

Taxonomy Name Geriatric Medicine (Family Medicine) Physician
Classification

Family Medicine

Group

Allopathic & Osteopathic Physicians

License No. MD00018422
License State WA
Description A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

Business Address

DR. MD John Burk Gossom
689 Airport Center Dr
Ste B

Friday Harbor, WA, US

Phone: 360-378-1338
Fax: 360-378-1830

Mailing Address

DR. MD John Burk Gossom
Po Box 1550
Friday Harbor, WA, US
ZIP 982501550
Phone: 360-378-1338
Fax: 360-378-1830

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
5877GO REGENCE BLUE SHIELD 01
912109329 CIGNA BEECH ST 01
912109329 COMMUNITY HEALTHPLAN OF W 01
0152514 LABOR AND INDUSTRIES 01
5403470 CCN 01
912109329 TRIWEST 01
912109329 TAX ID 01
912109329 PREMERA BLUE CROSS 01
361929500 US DEPT OF LABOR 01
532300001 GROUP HEALTH 01
8101404 DSHS 01
MD00018422 LICENSE NUMBER 01
98250A003 TRIWEST 01
8937843 CRIME VICTIMS 01
912109329 FIRST CHOICE 01

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