Jon F Geffen DO PC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

OP00001971 Issued in WA

Legal business name

JON F GEFFEN DO PC

Practice address

1515 Martin Luther King Jr Way
Tacoma, WA 98405-3933

Phone

(253) 572-2663

NPI assigned

Dec 1, 2006

Organization subpart

No

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

Authorized official

Name

Jon F Geffen, DO

Title

Owner Physician

Phone

(253) 572-2663

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196812800000",
    "number": "1396813937",
    "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": {
        "organization_name": "JON F GEFFEN DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2007-12-05",
        "status": "A",
        "authorized_official_last_name": "GEFFEN",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER PHYSICIAN",
        "authorized_official_telephone_number": "253-572-2663",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WA",
            "license": "OP00001971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA STATE LABOR & INDUST",
            "identifier": "0195192",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1121672",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scottia Elise Johnston, LMP
• Vanee Joiner
• Patricia Danielle Jolley, LMT
• Linda L Jollo, LMP
• Marlin Lee Jolly
• Jon M Pettibon DC Inc PS
• Hillary S Jonas, LICSW
• Jonathan L Ritson MD PS
• Cassandra Jones Morgan
• Jakira Jones-Ford

• Physical Medicine & Rehabilitation Physician in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Physical Medicine & Rehabilitation Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.