Active NPI
Jon Ferrell Geffen, D.O.
- Physical Medicine & Rehabilitation Physician
- Tacoma, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- OP00001971
- Practice address
- 1515 Martin Luther King Jr Way
Tacoma, WA 98405-3933 - Phone
- (253) 572-2663
- NPI assigned
- Nov 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | OP00001971 | WA | Primary |
Addresses
Primary practice location
1515 Martin Luther King Jr Way
Tacoma, WA 98405-3933
Mailing address
1515 Martin Luther King Jr Way
Tacoma, WA 98405-3933
Phone (253) 572-2663
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1121672 | Medicaid | WA | |
| 610554600 | Other | WA | OWCP - US DEPT OF LABOR |
| 0195192 | Other | WA | LABOR & INDUSTRIES |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- At Still University of Health Sciences, College of Osteo Med, Kirksville, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
311 S L St
Tacoma, WA 98405-3720
315 Martin Luther King Jr Way
Tacoma, WA 98405-4234
Phone (253) 403-2130
316 Martin Luther King Jr Way
Tacoma, WA 98405-4252
Phone (253) 403-5200
317 Martin Luther King Jr Way
Tacoma, WA 98405-4234
317 MLK Jr Way
Multicare Social Work Serv
Tacoma, WA 98405-4234
Phone (253) 403-1126
4545 Point Fosdick Dr
Gig Harbor, WA 98335-1700
Phone (253) 530-8011
4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706
Hospital & facility affiliations
- Tacoma General Allenmore Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Past | Accepting new patients | |
| Multicare Health System | Past | Accepting new patients |
Locations
4545 Point Fosdick Dr
Ste 145
Gig Harbor, WA 98335
Phone (253) 792-6630
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
4545 Point Fosdick Dr
#145
Gig Harbor, WA 98335
222 State Ave N
Kent, WA 98030
Phone (253) 372-7680
316 S K St
Tacoma, WA 98405
Phone (253) 403-1375
1717 S J St
Tacoma, WA 98405
Phone (253) 426-4101
311 S L St
Tacoma, WA 98405
Phone (253) 403-1444
3124 S 19th St
Ste 340
Tacoma, WA 98405
Phone (253) 459-7000
315 S K St
Tacoma, WA 98405
Phone (253) 403-1291
317 Martin Luther King Jr Way
Tacoma, WA 98405
Phone (253) 403-1400
Interoperability endpoints
- jgeffen6854@direct.multicare.org
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.
-
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
-
- Diagnostic Radiology Physician
- Covington, WA
- NPI 1578803839
-
- Family Medicine Physician
- Auburn, WA
- NPI 1013969195
-
- Nurse Practitioner
- Tacoma, WA
- NPI 1407808413
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tacoma, WA
- NPI 1366556227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328227200000",
"number": "1205908340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 MARTIN LUTHER KING JR WAY",
"city": "TACOMA",
"state": "WA",
"postal_code": "984053933",
"telephone_number": "253-572-2663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 MARTIN LUTHER KING JR WAY",
"city": "TACOMA",
"state": "WA",
"postal_code": "984053933",
"telephone_number": "253-572-2663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEFFEN",
"first_name": "JON",
"middle_name": "FERRELL",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-14",
"last_updated": "2012-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "WA",
"license": "OP00001971",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1121672",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OWCP - US DEPT OF LABOR",
"identifier": "610554600",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & INDUSTRIES",
"identifier": "0195192",
"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 Feb 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.