Active NPI
John S. Dew, DO
- Family Medicine Physician
- Mount Vernon, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OP60640808
- Practice address
- 819 S. 13TH Street
Mount Vernon, WA 98274-4127 - Phone
- (360) 814-6230
- Fax
- (360) 814-6240
- NPI assigned
- Apr 13, 2006
- Last updated
- Jun 7, 2016
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | 5101010625 | MI | |
| Family Medicine Physician | 207Q00000X | 5101010625 | MI | |
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | OP60640808 | WA | |
| Family Medicine Physician | 207Q00000X | OP60640808 | WA | Primary |
Addresses
Primary practice location
819 S. 13TH Street
Mount Vernon, WA 98274-4127
Mailing address
1400 E Kincaid St
Attn: Credentialing
Mount Vernon, WA 98274-4127
Phone (360) 428-2500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740244193 | Medicaid | MI | |
| 08-5-41-0248-5 | Other | MI | BCBS PIN |
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
- Family Practice
- Education
- Michigan State University College of Osteopathic Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1400 E Kincaid St
Mount Vernon, WA 98274-4127
Phone (360) 428-2500
2320 Fwy Dr
Mount Vernon, WA 98273-5445
Phone (360) 814-6800
3823 172ND St NE
Arlington, WA 98223-7735
Phone (360) 651-8365
819 S 13TH St
Mount Vernon, WA 98274-4112
Phone (360) 814-6230
901 S 5TH St
Mount Vernon, WA 98274-3942
Phone (360) 428-6434
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9401492 | NC | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Public Hospital Dist No 1 Skagit | Current | Accepting new patients | |
| Public Hospital Dist No 1 Skagit | Current | Accepting new patients | |
| Public Hospital Dist No 1 Skagit | Current | Accepting new patients | |
| Josephine Caring Community | Past | Accepting new patients | |
| Little Mountain Healthcare, Inc. | Past | Accepting new patients | |
| Metropolitan Hospital | Past | Accepting new patients | |
| Public Hospital Dist No 1 Skagit | Past | Accepting new patients | |
| East Carolina Psychiatric Consultants,PLLC | Past | Accepting new patients |
Locations
3823 172nd St NE
Arlington, WA 98223
Phone (360) 618-5000
1400 E Kincaid St
Mount Vernon, WA 98274
Phone (360) 428-2586
2320 Freeway Dr
Mount Vernon, WA 98273
Phone (360) 814-6800
819 S 13th St
Mount Vernon, WA 98274
Phone (360) 336-9757
901 S 5th St
Mount Vernon, WA 98274
Phone (360) 428-6434
Interoperability endpoints
- jdew13343@skagit.direct-ci.com
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Josephine | Skilled nursing facility | Adp of the SNF | Feb 26, 2025 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Josephine at Home
- Skilled Nursing Facility
- Stanwood, WA
- NPI 1063407393
Adp of the SNF
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Skagit Regional Clinics
- General Practice Physician
- Mount Vernon, WA
- NPI 1023332749
-
dba Skagit Regional Health - Arlington Women's Health
- Obstetrics & Gynecology Physician
- Arlington, WA
- NPI 1073554903
-
dba Skagit Regional Health - Mount Vernon Physical Therapy
- Physical Therapist
- Mount Vernon, WA
- NPI 1811460652
-
dba Josephine at Home
- Skilled Nursing Facility
- Stanwood, WA
- NPI 1063407393
-
dba Mira Vista Care Center
- Skilled Nursing Facility
- Mount Vernon, WA
- NPI 1578149233
-
- Specialist
- Mount Vernon, WA
- NPI 1629012463
-
- Psychiatry Physician
- Goldsboro, NC
- NPI 1891997334
-
dba Metro Health Hospital
- General Acute Care Hospital
- Wyoming, MI
- NPI 1619923919
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Josephine at Home
- Skilled Nursing Facility
- Stanwood, WA
- NPI 1063407393
Nursing home
-
dba Skagit Valley Hospital
- General Acute Care Hospital
- Mount Vernon, WA
- NPI 1053357244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465257600000",
"number": "1740244193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 E KINCAID ST",
"address_2": "ATTN: CREDENTIALING",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982744127",
"telephone_number": "360-428-2500",
"fax_number": "360-428-6485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "819 S. 13TH STREET",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982744127",
"telephone_number": "360-814-6230",
"fax_number": "360-814-6240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEW",
"first_name": "JOHN",
"middle_name": "S.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-13",
"last_updated": "2016-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "204D00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine & OMM",
"state": "MI",
"license": "5101010625",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "5101010625",
"primary": false
},
{
"code": "204D00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine & OMM",
"state": "WA",
"license": "OP60640808",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "OP60640808",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1740244193",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PIN",
"identifier": "08-5-41-0248-5",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mount Vernon, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.