John S. Ebisu, M.D.

Surgery Physician · Kirkland, WA

Individual Active NPI

NPI number 1508835273

Practice location

12333 NE 130TH Ln
Suite 420
Kirkland, WA 98034-7467
Phone
(206) 838-2590
Fax
(206) 264-8689

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NPI record

NPI
1508835273
Entity type
Individual (Type 1)
Enumeration date
March 15, 2006
Last updated
October 7, 2011
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Surgery Physician Primary 208600000X MD00027066 WA

Mailing address

805 Madison St
Suite 901
Seattle, WA 98104-1172
Phone
(206) 264-8100
Fax
(206) 264-8689

About Dr. Ebisu

John S. Ebisu, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Surgery Physician (code 208600000X). The practice location is 12333 NE 130TH Ln, Suite 420, Kirkland, WA 98034-7467. The NPI number 1508835273 was assigned on March 15, 2006 and the record was last updated on October 7, 2011.

Dr. Ebisu lists a license in the registry: #MD00027066 (WA) for Surgery Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of John S. Ebisu, M.D.?

The NPI number is 1508835273.

What is the phone number of Dr. Ebisu?

The phone number listed for the practice location is (206) 838-2590.

Where is Dr. Ebisu located?

12333 NE 130TH Ln, Suite 420, Kirkland, WA 98034-7467.

What is the taxonomy code for Dr. Ebisu?

The primary taxonomy code is 208600000X – Surgery Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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