Johnette Barnes Maehren, D.O.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

OP00001459 Issued in WA

Practice address

1717 South J. Street
Tacoma, WA 98405

Phone

(253) 426-6076

Fax

(253) 426-6954

NPI assigned

Aug 30, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Interoperability endpoints

• Direct secure messaging: jmaehren17442@fhsce.catholichealth.net

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.

• Franciscan Medical Group

  • Internal Medicine Physician
  • Tacoma, WA
  • NPI 1275562928
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352937600000",
    "number": "1740390582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 SOUTH J. STREET",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98405",
            "telephone_number": "253-426-6076",
            "fax_number": "253-426-6954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 SOUTH J. STREET",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98405",
            "telephone_number": "253-426-6076",
            "fax_number": "253-426-6954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAEHREN",
        "first_name": "JOHNETTE",
        "middle_name": "BARNES",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2012-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WA",
            "license": "OP00001459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8160764",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ivonne Rosa Madrigal Leon
• Madrona Peak LLC
• Madrona Pelvic Health, LLC
• Madrona Physical Therapy, PLLC
• Grace Amalachukwu Madueke, PMHNP
• Paul Maestry-Williams
• Sophia Irene Maffei
• Bernard Magbe, PHARMACIST
• Shaylee Magee, RDH, BS
• Vincent Maggio-Brancacio

• Obstetrics & Gynecology Physician in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Obstetrics & Gynecology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; 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.