Active NPI
John A Tomchick, PA-C
- Physician Assistant
- Maple Valley, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA10003358
- Practice address
- 23846 SE Kent Kangley Rd
Maple Valley, WA 98038-6848 - Phone
- (425) 656-4100
- Fax
- (425) 656-4109
- NPI assigned
- Jun 12, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA10003358 | WA | Primary |
Addresses
Primary practice location
23846 SE Kent Kangley Rd
Maple Valley, WA 98038-6848
Mailing address
3600 Lind Ave SW
Ste 100
Renton, WA 98057-4934
Phone (425) 656-5412
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
17250 Southcenter Pkwy
Suite 136
Tukwila, WA 98188-3351
Phone (864) 664-3984
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peacehealth Networks on Demand, LLC | Current | Accepting new patients | |
| Public Hospital District 1 of King County | Past | Accepting new patients | |
| Zoomcare PC | Past | Accepting new patients | |
| Bourget Health Services Inc | Past | Accepting new patients |
Locations
1455 NW Irving St
Ste 600
Portland, OR 97209
Phone (702) 388-4512
11958 SW Garden Pl
Tigard, OR 97223
Phone (866) 966-6463
10541 NE 4th St
Bellevue, WA 98004
Phone (954) 881-4151
24118 Bothell Everett Hwy
Unit 200
Bothell, WA 98021
22019 Highway 99
Ste 120
Edmonds, WA 98026
19220 Alderwood Mall Pkwy
Ste 145
Lynnwood, WA 98036
2010 148th Ave NE
Ste 150
Redmond, WA 98052
1909 Queen Anne Ave N
Seattle, WA 98109
624 N 34th St
Unit 104
Seattle, WA 98103
531 Broadway E
Ste 10
Seattle, WA 98102
4012 SW Alaska St
Seattle, WA 98116
116 Westlake Ave N
Seattle, WA 98109
1570 W Armory Way
Ste 102
Seattle, WA 98119
2038 NW Market St
Seattle, WA 98107
4555 Stone Way N
Seattle, WA 98103
Phone (206) 973-4264
517 Union St
Seattle, WA 98101
2301 2nd Ave
Seattle, WA 98121
Phone (398) 486-4664
15911 Westminster Way N
Shoreline, WA 98133
17250 Southcenter Pkwy
Ste 136
Tukwila, WA 98188
902 SE 164th Ave
Ste 400
Vancouver, WA 98683
910 NE Tenney Rd
Ste 101
Vancouver, WA 98685
2510 Columbia House Blvd
Ste 107
Vancouver, WA 98661
17705 140th Ave NE
Ste A18
Woodinville, WA 98072
Interoperability endpoints
- https://api.platform.athenahealth.com/30646/brand/1/csg/1/fhir/r4
- john.tomchick.1@30646.direct.athenahealth.com
Organizations & group practices 6
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.
-
- Emergency Medicine Physician
- Renton, WA
- NPI 1861480840
-
- General Acute Care Hospital
- Renton, WA
- NPI 1619209574
-
- Clinical Medical Laboratory
- Spokane, WA
- NPI 1033117338
-
- Institutional Pharmacy
- Renton, WA
- NPI 1679862189
-
- Internal Medicine Physician
- Portland, OR
- NPI 1689647372
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200873600000",
"number": "1770525537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 LIND AVE SW",
"address_2": "STE 100",
"city": "RENTON",
"state": "WA",
"postal_code": "980574934",
"telephone_number": "425-656-5412",
"fax_number": "425-656-4079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23846 SE KENT KANGLEY RD",
"city": "MAPLE VALLEY",
"state": "WA",
"postal_code": "980386848",
"telephone_number": "425-656-4100",
"fax_number": "425-656-4109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOMCHICK",
"first_name": "JOHN",
"middle_name": "A",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-12",
"last_updated": "2008-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "PA10003358",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maple Valley, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.