John Wesley Atkinson, M.D.
Individual provider Active NPI Family Medicine Physician · Fircrest, WA
NPI 1477572873 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1477572873
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 0013874 (WA)
- Practice address
- 1339 Alameda Ave
Fircrest, WA 98466-6552 - Phone
- (253) 564-7701
- Fax
- (253) 566-4688
- NPI assigned
- Jul 18, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emerson Dental Inc PC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0013874 | WA | Yes |
Addresses
Primary practice location
1339 Alameda Ave
Fircrest, WA 98466-6552
Mailing address
1339 Alameda Ave
Fircrest, WA 98466-6552
Phone (253) 564-7701
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1048743 | Medicaid | WA |
Other providers in Fircrest, WA
- Kristen Adriazola
- Alameda Dental
- Tiffany Artime
- Austin D McMillin DC PS
- Angela Dawn Bachel
- Stephen David Beck
- Audrey Inez Bellerud
- Madeline Elise Berry
All providers in Fircrest, WA · Family Medicine Physician in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.