Individual provider Active NPI

Jonathan Wingate, M.D.

  • Urology Physician
  • Tacoma, WA
National Provider Identifier
1235405192
Registry record updated Nov 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
MD60829859 Issued in WA
Practice address
Madigan Army Medical Center
9040 Jackson Ave
Tacoma, WA 98431
Phone
(253) 968-2252
NPI assigned
Mar 26, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X MD60829859 WA Primary

Addresses

Primary practice location

Madigan Army Medical Center
9040 Jackson Ave
Tacoma, WA 98431

Mailing address

Madigan Army Medical Center
9040 Jackson Ave
Tacoma, WA 98431
Phone (253) 968-2252

Other practice location 1

413 Lilly Rd NE
Olympia, WA 98506-5133
Phone (360) 491-9480

Other practice location 2

149 Lilly Rd NE
Olympia, WA 98506-5028
Phone (360) 486-6772

Other identifiers 1

IdentifierTypeStateIssuer
1235405192MedicaidWA

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address jonathan.t.wingate.mil@mail.mil Direct
Direct Messaging Address jwingate1461760@wm.providencedirect.org Direct
Direct Messaging Address jwingate1461760@wm.providencedirect.org Direct

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
I20180702001498 WA Practitioner - Urology 9234351719 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Uniformed Services Uhs Fe Hebert School of Med, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Providence Health and Services WashingtonGroup PAC ID 6709782600, 480 clinicians
The Association of University PhysiciansGroup PAC ID 0446162697, 3,484 clinicians
Capital Medical Center Specialty Physicians LLCGroup PAC ID 2567651771, 103 clinicians

Practice addresses (Care Compare)

149 Lilly Rd NE
Olympia, WA 98506-5028
Phone (360) 486-6772

325 9TH Ave
Seattle, WA 98104-2420
Phone (206) 731-3000

3900 Capital Mall Dr SW
Olympia, WA 98502-8654
Phone (360) 704-4743

601 McPhee Rd SW
BLDG 1
Olympia, WA 98502-5080
Phone (360) 706-6282

Hospital & facility affiliations

  • Harborview Medical Center Hospital, Seattle, WA, CCN 500064
  • Providence St Peter Hospital Hospital, Olympia, WA, CCN 500024
  • Capital Medical Center Hospital, Olympia, WA, CCN 500139

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD60829859WAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Medical Center Specialty Physicians, LLC Urology CurrentSince May 16, 2022 Accepting new patients
Providence Health & Services Washington CurrentSince Feb 15, 2021 Accepting new patients
The Association of University Physicians Urology CurrentSince Jun 12, 2018 Accepting new patients
Providence Health & Services Washington CurrentSince Feb 15, 2021 Accepting new patients
Providence Health & Services Washington CurrentSince Feb 15, 2021 Accepting new patients

Locations

149 Lilly Rd NE
Olympia, WA 98506
Phone (360) 352-3361

525 Lilly Rd NE
Olympia, WA 98506
Phone (360) 413-8550

413 Lilly Rd NE
Olympia, WA 98506
Phone (360) 491-9480

3900 Capital Mall Dr SW
Olympia, WA 98502
Phone (360) 704-4743

410 9th Ave N
Fl 7
Seattle, WA 98109
Phone (206) 540-1887

1959 NE Pacific St
Seattle, WA 98195
Phone (206) 598-4333

908 Jefferson St
Seattle, WA 98104
Phone (206) 744-1675

325 9th Ave
Seattle, WA 98104
Phone (206) 731-3000

Interoperability endpoints

  • Direct secure messaging: jwingate209580@direct.ehre.uwmedicine.org
  • Direct secure messaging: jwingate1461760@wm.providencedirect.org
  • Direct secure messaging: jonathan.wingate@direct.vmmc.org

Organizations & group practices 6

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 4

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": "1332720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1235405192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MADIGAN ARMY MEDICAL CENTER",
            "address_2": "9040 JACKSON AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98431",
            "telephone_number": "253-968-2252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MADIGAN ARMY MEDICAL CENTER",
            "address_2": "9040 JACKSON AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98431",
            "telephone_number": "253-968-2252"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "413 Lilly Rd NE",
            "address_purpose": "LOCATION",
            "city": "Olympia",
            "state": "WA",
            "postal_code": "985065133",
            "country_code": "US",
            "telephone_number": "360-491-9480",
            "fax_number": "360-493-4543",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "149 Lilly Rd NE",
            "address_purpose": "LOCATION",
            "city": "Olympia",
            "state": "WA",
            "postal_code": "985065028",
            "country_code": "US",
            "telephone_number": "360-486-6772",
            "fax_number": "360-455-7405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WINGATE",
        "first_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-26",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "WA",
            "license": "MD60829859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235405192",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jonathan.t.wingate.mil@mail.mil",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "Madigan Army Medical Center",
            "address_2": "9040 Jackson Ave",
            "city": "Tacoma",
            "state": "WA",
            "country_code": "US",
            "postal_code": "98431",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jwingate1461760@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "149 Lilly Rd NE",
            "city": "Olympia",
            "state": "WA",
            "country_code": "US",
            "postal_code": "985065028",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jwingate1461760@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "413 Lilly Rd NE",
            "city": "Olympia",
            "state": "WA",
            "country_code": "US",
            "postal_code": "985065133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.