Active NPI
Violet D Saint John, D.O.
- Otolaryngology/Facial Plastic Surgery Physician
- Issaquah, WA
National Provider Identifier
1871915595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology/Facial Plastic Surgery Physician
- License
- 2474
- Practice address
- 592 Saddleback Loopway NW
Issaquah, WA 98027 - Phone
- (918) 640-4547
- NPI assigned
- Jan 15, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | R9E71 | MO | |
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | 2474 | OK | Primary |
| General Practice Physician | 208D00000X | G8392 | TX |
Addresses
Primary practice location
592 Saddleback Loopway NW
Issaquah, WA 98027
Mailing address
592 Saddleback Loopway NW,
Issaquah, WA 98027
Phone (918) 640-4547
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R9E71 | MO | MD | Emergency Medicine Physician |
| G8392 | TX | MD | General Practice Physician |
| 2474 | OK | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389744000000",
"number": "1871915595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "592 SADDLEBACK LOOPWAY NW,",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "98027",
"telephone_number": "918-640-4547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "592 SADDLEBACK LOOPWAY NW",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "98027",
"telephone_number": "918-640-4547"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAINT JOHN",
"first_name": "VIOLET",
"middle_name": "D",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-01-15",
"last_updated": "2014-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MO",
"license": "R9E71",
"primary": false
},
{
"code": "207YX0905X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
"state": "OK",
"license": "2474",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "TX",
"license": "G8392",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Issaquah, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.