NPIMap

Individual provider Active NPI

Johnathan Ha, M.D.

  • Gastroenterology Physician
  • Lakewood, WA
National Provider Identifier
1013302520
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD61132712 Issued in WA
Practice address
11311 Bridgeport Way SW Ste 207
Lakewood, WA 98499-3051
Phone
(253) 272-8664
Fax
(253) 627-7880
NPI assigned
Apr 1, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MD61132712 WA Primary

Addresses

Primary practice location

11311 Bridgeport Way SW Ste 207
Lakewood, WA 98499-3051

Mailing address

11311 Bridgeport Way SW Ste 207
Lakewood, WA 98499-3051
Phone (253) 272-8664

Other identifiers 1

IdentifierTypeStateIssuer
2180700MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jha707649@fhsce.catholichealth.net Direct Franciscan Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210824003295 WA Practitioner - Gastroenterology 7719242072 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Franciscan Medical GroupGroup PAC ID 0547173866, 1,400 clinicians

Practice addresses (Care Compare)

11311 Bridgeport Way SW
Suite 207
Lakewood, WA 98499-3051
Phone (253) 272-8664

Hospital & facility affiliations

  • St Anthony Hospital Hospital, Gig Harbor, WA, CCN 500151
  • St Francis Community Hospital Hospital, Federal Way, WA, CCN 500141
  • St Joseph Medical Center Hospital, Tacoma, WA, CCN 500108
  • St Michael Medical Center Hospital, Silverdale, WA, CCN 500039
  • St Clare Hospital Hospital, Lakewood, WA, CCN 500021

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy106
Upper gastrointestinal (GI) endoscopy for acid reflux158

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Medical Group Current Accepting new patients
Franciscan Medical Group CurrentSince Aug 9, 2021 Accepting new patients
Franciscan Medical Group CurrentSince Aug 9, 2021 Accepting new patients
Franciscan Medical Group Past Accepting new patients
Franciscan Medical Group Past Accepting new patients

Locations

34503 9th Ave S
Ste 130
Federal Way, WA 98003
Phone (253) 835-5340

2910 S Meridian
Ste 350
Puyallup, WA 98373
Phone (253) 445-5750

6002 Westgate Blvd
Ste 230
Tacoma, WA 98406
Phone (253) 761-2244

1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200

11311 Bridgeport Way SW
Ste 207
Tacoma, WA 98499

Networks

  • WA PPO C-SNP
  • devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e

Organizations & group practices 5

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1427846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1013302520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11311 BRIDGEPORT WAY SW STE 207",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984993051",
            "telephone_number": "253-272-8664",
            "fax_number": "253-627-7880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11311 BRIDGEPORT WAY SW STE 207",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984993051",
            "telephone_number": "253-272-8664",
            "fax_number": "253-627-7880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HA",
        "first_name": "JOHNATHAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-01",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "WA",
            "license": "MD61132712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2180700",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jha707649@fhsce.catholichealth.net",
            "affiliation": "Y",
            "affiliationName": "Franciscan Medical Group",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "11311 Bridgeport Way SW Ste 207",
            "city": "Lakewood",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984993051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lakewood, WA

Sources for this page

Verify at the official NPI Registry.