Individual provider Active NPI

Gregory James Hamilton, M.D.

  • Family Medicine Physician
  • Tacoma, WA
National Provider Identifier
1053683433
Registry record updated May 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
27455 Issued in NE
Practice address
Madigan Army Medical Center 9040 Jackson Ave
Tacoma, WA 98431-2332
Phone
(253) 968-2252
NPI assigned
Feb 1, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 27455 NE Primary

Addresses

Primary practice location

Madigan Army Medical Center 9040 Jackson Ave
Tacoma, WA 98431-2332

Mailing address

19 Wint Ave
Fort Leavenworth, KS 66027-1346
Phone (206) 586-4466

Other practice location 1

Brian D. Allgood Army Community Hospital
Unit 15245
Apo, AP 96271
Phone (315) 737-1148

Other practice location 2

550 Pope Ave
Fort Leavenworth, KS 66027-2332
Phone (913) 684-6250

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140430001164 WA Order and Referring Only - Family PracticePractitioner - Family Practice 1456584374

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27455NEMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1328054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653264000000",
    "number": "1053683433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 WINT AVE",
            "city": "FORT LEAVENWORTH",
            "state": "KS",
            "postal_code": "660271346",
            "telephone_number": "206-586-4466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984312332",
            "telephone_number": "253-968-2252"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Brian D. Allgood Army Community Hospital",
            "address_2": "Unit 15245",
            "address_purpose": "LOCATION",
            "city": "APO",
            "state": "AP",
            "postal_code": "96271",
            "country_code": "US",
            "telephone_number": "315-737-1148",
            "country_name": "United States",
            "address_type": "MIL"
        },
        {
            "address_1": "550 Pope Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Leavenworth",
            "state": "KS",
            "postal_code": "660272332",
            "country_code": "US",
            "telephone_number": "913-684-6250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "GREGORY",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-01",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "27455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.