John Abano MD PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

60242421 Issued in WA

Legal business name

JOHN ABANO MD PLLC

Practice address

20011 Ballinger Way NE Ste C100
Shoreline, WA 98155-1298

Phone

(206) 687-7638

Fax

(206) 906-9981

NPI assigned

Jan 16, 2018

Organization subpart

No

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

Authorized official

Name

John Abano, MD

Title

Practice Owner

Phone

(206) 687-7638

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1516060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525824000000",
    "number": "1861900631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20011 BALLINGER WAY NE STE C100",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981551298",
            "telephone_number": "206-687-7638",
            "fax_number": "206-906-9981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20011 BALLINGER WAY NE STE C100",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981551298",
            "telephone_number": "206-687-7638",
            "fax_number": "206-906-9981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN ABANO MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-16",
        "last_updated": "2018-05-09",
        "status": "A",
        "authorized_official_last_name": "ABANO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "206-687-7638",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "60242421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randi Jean Jensen, LMHC, CCDC
• Lola Jett, SUDP
• Min Jiang
• Jung H Joh, MD
• Shannon Johansen
• John G. Finch, DO, PS
• Jennifer Lynn Johns, CCC-SLP
• Brittney Johnson
• Heidi Johnson
• Lisa Johnson, RDH, MPH

• Family Medicine Physician in Shoreline, WA
• Providers in Shoreline, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2018; 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.