John D Allderdice, MD
Individual provider Active NPI Emergency Medical Services (Emergency Medicine) Physician · Monroe, WA
NPI 1023063369 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1023063369
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician 207PE0004X
- License
- MD00014756 (WA)
- Practice address
- 14701 179TH Ave SE
Monroe, WA 98272-1108 - Phone
- (360) 794-7497
- NPI assigned
- May 24, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00014756 | WA | MD | Emergency Medical Services (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Sound Emergency Medicine PC | Emergency Medical Services | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | MD00014756 | WA | Yes |
Addresses
Primary practice location
14701 179TH Ave SE
Monroe, WA 98272-1108
Mailing address
533 First Street
Langley, WA 98260
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1092303 | Medicaid | WA |
Other providers in Monroe, WA
- Ahrens Valley Eyeworks
- Richard Ahrens
- Suji Ann Akai
- Paula Ann Alice
- Sheryl E Allbert
- Margarethe F. Allen
- Melysa S Allen
- Danell Rene Anderson
- David Lee Anderson
- Diane Kelly Anderson
All providers in Monroe, WA · Emergency Medical Services (Emergency Medicine) Physician in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.