National Provider Identifier Database

JOHN B GOSSOM, MD – NPI #1245221886
Geriatric Medicine

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

Contact Information

JOHN B GOSSOM, MD
689 AIRPORT CENTER DR
STE B
FRIDAY HARBOR, WA  98250
Phone: 360-378-1338
Fax: 360-378-1830
Website:
Specialty Taxonomy Code
* Geriatric Medicine 207QG0300X

* Indicates primary specialty

NPI Profile & details for JOHN B GOSSOM

NPI Number 1245221886
Credentials MD
Entity Individual
Enumeration date 11/02/2005
Last updated 03/04/2011 - About 15 years ago
Sole proprietor1 Yes
Identifiers
  • WA License #: MD00018422
  • Other: 5403470 CCN
  • Other: 912109329 CIGNA BEECH ST
  • Other: 912109329 COMMUNITY HEALTHPLAN OF W
  • Other: 8937843 CRIME VICTIMS
  • Other: 8101404 DSHS
  • Other: 912109329 FIRST CHOICE
  • Other: 532300001 GROUP HEALTH
  • Other: 0152514 LABOR AND INDUSTRIES
  • Other: MD00018422 LICENSE NUMBER
  • Other: 912109329 PREMERA BLUE CROSS
  • Other: 5877GO REGENCE BLUE SHIELD
  • Other: 912109329 TAX ID
  • Other: 912109329 TRIWEST
  • Other: 98250A003 TRIWEST
  • Other: 361929500 US DEPT OF LABOR
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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