JOHN B. GOSSOM MD – NPI #1245221886
Family 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.
JOHN GOSSOM is a physician located in FRIDAY HARBOR, WA. NPPES has assigned the NPI number 1245221886 to JOHN GOSSOM on November 02, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207QG0300X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Geriatric Medicine
The NPI profile was previously updated about 15 years ago on Mar 04, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JOHN GOSSOM below.
NPI Profile for
JOHN B. GOSSOM
(more than 20 years ago)
STE B
FRIDAY HARBOR, WA 98250 Phone: (360) 378-1338 Fax: (360) 378-1830
FRIDAY HARBOR, WA 98250-1550 Phone: (360) 378-1338 Fax: (360) 378-1830
Identifiers for JOHN GOSSOM
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
See identifiers
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | CCN | 5403470 | |
| OTHER | CIGNA BEECH ST | 912109329 | |
| OTHER | COMMUNITY HEALTHPLAN OF W | 912109329 | |
| OTHER | CRIME VICTIMS | 8937843 | |
| OTHER | DSHS | 8101404 | |
| OTHER | FIRST CHOICE | 912109329 | |
| OTHER | GROUP HEALTH | 532300001 | |
| OTHER | LABOR AND INDUSTRIES | 0152514 | |
| OTHER | LICENSE NUMBER | MD00018422 | |
| OTHER | PREMERA BLUE CROSS | 912109329 | |
| OTHER | REGENCE BLUE SHIELD | 5877GO | |
| OTHER | TAX ID | 912109329 | |
| OTHER | TRIWEST | 912109329 | |
| OTHER | TRIWEST | 98250A003 | |
| OTHER | US DEPT OF LABOR | 361929500 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 207QG0300X - Family Medicine / Geriatric Medicine (Primary) |
WA | MD00018422 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.