Individual provider Active NPI

John Patrick Maiorca, MD

  • General Practice Physician
  • Tacoma, WA
National Provider Identifier
1174555239
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
MD00036069 Issued in WA
Practice address
15005 Pacific Ave
Spanaway General Medical Clinic
Tacoma, WA 98444
Phone
(253) 537-3724
Fax
(253) 537-6425
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X MD00036069 WA Primary

Addresses

Primary practice location

15005 Pacific Ave
Spanaway General Medical Clinic
Tacoma, WA 98444

Mailing address

15005 Pacific Ave
Tacoma, WA 98444
Phone (253) 537-3724

Other identifiers 1

IdentifierTypeStateIssuer
8330227MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00036069WAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific General Medical & Emergecy Clinic Inc Current Accepting new patients
Spanaway General Medical Clinic General Practice Current Accepting new patients
South Hill General Medical Clinic General Practice PastSince Oct 10, 2015 Accepting new patients

Locations

7440 Pacific Ave
Tacoma, WA 98408
Phone (253) 475-0511

15005 Pacific Ave S
Tacoma, WA 98444
Phone (253) 537-3724

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174555239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15005 PACIFIC AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98444",
            "telephone_number": "253-537-3724",
            "fax_number": "253-537-6425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15005 PACIFIC AVE",
            "address_2": "SPANAWAY GENERAL MEDICAL CLINIC",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98444",
            "telephone_number": "253-537-3724",
            "fax_number": "253-537-6425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAIORCA",
        "first_name": "JOHN",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "WA",
            "license": "MD00036069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8330227",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.