JOHN H. ADDISON MD PS NPI 1497706774

NPI Information

  • NPI: 1497706774
  • Provider Name: JOHN H. ADDISON MD PS
  • Classification: Internal Medicine - 207RG0300X
  • Specialization: Geriatric Medicine
  • Entity Type: Organization
  • Doing Business As: NORTHWEST GERIATRICS
  • CLIA Number: 50D2157122
  • Address: 9725 SE 36TH ST.
    SUITE 214
    MERCER ISLAND, WA
    ZIP 98040
  • Phone: (206) 275-3588

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NPI Details

JOHN H. ADDISON MD PS is a geriatric medicine internal medicine in Mercer Island, WA. The provider is an internist who has 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 H. ADDISON MD PS NPI is 1497706774. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Northwest Geriatrics.

The provider's business location address is:

9725 SE 36TH ST.
SUITE 214
MERCER ISLAND, WA
ZIP 98040
Phone: (206) 275-3588
Fax: (206) 275-2073

The provider's authorized official is John H. Addison .
The authorized official title is Owner and has the following contact phone number (206) 275-3588.

The CLIA number assigned to this NPI record is 50D2157122 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/12/2006 and was last updated on 1/5/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RG0300XInternal MedicineGeriatric MedicineNo
2207RG0300XInternal MedicineGeriatric MedicineWASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1AB33253MEDICARE UPINWASHINGTON
2GAB33253MEDICARE ID-TYPE UNSPECIFIEDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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