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JOHN JACOB MATTHEW WAMPACH MD
NPI 1023695095
Student in an Organized Health Care Education/Training Program in Seattle, WA

Active since March 25, 2021PECOS Enrolled
1401 MADISON AVE SUITE 100, SEATTLE, WA 98104(206) 386-6197 Get Directions Write a Review

NPPES record last updated: March 25, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About John Jacob Matthew Wampach Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN JACOB MATTHEW WAMPACH MD (NPI 1023695095) is an individual student in an organized health care education/training program in Seattle, Washington and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023695095
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJOHN JACOB MATTHEW WAMPACHCredential: MD
Location Address1401 MADISON AVE SUITE 100Seattle, WA 98104
Mailing Address1401 Madison St Ste 100Seattle, WA 98104-1316 · (206) 386-6197
Phone(206) 386-6197
Sole ProprietorNo
Enumeration DateMarch 25, 2021
NPPES CertifiedMarch 25, 2021
✔ NPI 1023695095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1401 MADISON AVE SUITE 100, Seattle, WA 98104
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Other Names 1

Other Name (5)Jj Wampach Md, Mph

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John Jacob Matthew Wampach Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Jacob Wampach's NPI number?

The NPI number for John Jacob Wampach is 1023695095. It was assigned to this individual provider in the NPPES registry on March 25, 2021. The provider is also known as Jj Wampach MD, Mph.

Where is John Jacob Wampach located?

John Jacob Wampach practices at 1401 Madison Ave Suite 100, Seattle, WA 98104. The listed phone number is (206) 386-6197.

What is John Jacob Wampach's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is John Jacob Wampach enrolled in Medicare?

Yes. John Jacob Wampach is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for John Jacob Wampach was last updated on March 25, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.