Individual provider Active NPI

John A Tomchick, PA-C

  • Physician Assistant
  • Maple Valley, WA
National Provider Identifier
1770525537
Registry record updated Jan 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA10003358 Issued in WA
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

Updated by the provider on Jan 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050411000370 WA Practitioner - Physician Assistant 3173560240 Reassigns benefits to 3 organizations

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
Peacehealth Networks on Demand LLCGroup PAC ID 1759731383, 197 clinicians

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

OrganizationSpecialtyStatusNew patients
Peacehealth Networks on Demand, LLC CurrentSince Nov 8, 2025 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

  • FHIR API: https://api.platform.athenahealth.com/30646/brand/1/csg/1/fhir/r4
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.