Individual provider Active NPI

John Zhang, M.D.

  • Dermatopathology Physician
  • Mill Creek, WA
National Provider Identifier
1699947747
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology PhysicianTaxonomy code 207ND0900X
License
MD60482188 Issued in WA
Practice address
15906 Mill Creek Blvd Ste 105
Mill Creek, WA 98012-1797
Phone
(425) 385-2009
Fax
(425) 939-0807
NPI assigned
Mar 28, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology Physician 207ND0900X MD0000050430 TN
Dermatopathology Physician 207ND0900X MD60482188 WA Primary

Addresses

Primary practice location

15906 Mill Creek Blvd Ste 105
Mill Creek, WA 98012-1797

Mailing address

15906 Mill Creek Blvd Ste 105
Mill Creek, WA 98012-1797
Phone (425) 385-2009

Other practice location 1

3495 Hacks Cross Road
Poplar Healthcare
Memphis, TN 38125
Phone (901) 488-0530

Other names 1

  • Jiong Zhang Former name

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
I20170801003606 WA Practitioner - Pathology 2264675651 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Silver Falls Dermatology LLCGroup PAC ID 5890863492, 100 clinicians

Practice addresses (Care Compare)

15906 Mill Creek Blvd
Suite 105
Mill Creek, WA 98012-1797
Phone (425) 385-2009

Merit-based Incentive Payment System (MIPS)

Final score
90.65 of 100Reported as group
Promoting interoperability
89
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD0000050430TNMDDermatopathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Falls Dermatology, LLC Dermatopathology CurrentSince Apr 1, 2021 Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince Aug 26, 2019 Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince Aug 26, 2019 Accepting new patients
Kaiser Foundation Health Plan of Washington Current Accepting new patients

Locations

16410 Smokey Point Blvd
Ste 300
Arlington, WA 98223

1515 116th Ave NE
Ste 307
Bellevue, WA 98004
Phone (425) 999-2628

1106 Douglas St
Ste F
Longview, WA 98632
Phone (360) 636-4500

15906 Mill Creek Blvd
Ste 105
Mill Creek, WA 98012
Phone 4253852009111

14090 Fryelands Blvd SE
Ste 218
Monroe, WA 98272

200 15th Ave E
Seattle, WA 98112
Phone (206) 326-4530

11011 Meridian Ave N
Ste 102
Seattle, WA 98133
Phone (206) 859-5777

9505 S Steele St
Tacoma, WA 98444
Phone (253) 597-6800

Organizations & group practices 4

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": "1206662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1699947747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15906 MILL CREEK BLVD STE 105",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980121797",
            "telephone_number": "425-385-2009",
            "fax_number": "425-939-0807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15906 MILL CREEK BLVD STE 105",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980121797",
            "telephone_number": "425-385-2009",
            "fax_number": "425-939-0807"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3495 Hacks Cross Road",
            "address_2": "Poplar Healthcare",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "38125",
            "country_code": "US",
            "telephone_number": "901-488-0530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZHANG",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-28",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "TN",
            "license": "MD0000050430",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "WA",
            "license": "MD60482188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JIONG",
            "last_name": "ZHANG",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mill Creek, WA

Sources for this page

Verify at the official NPI Registry.