DR. JASON EDDY GOSSCHALK MD
NPI 1063116564
Student in an Organized Health Care Education/Training Program in Seattle, WA
About Dr. Jason Eddy Gosschalk Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JASON EDDY GOSSCHALK MD (NPI 1063116564) is an individual student in an organized health care education/training program in Seattle, Washington and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Jason Eddy Gosschalk Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SEATTLE, WA 98122
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 Jason Gosschalk's NPI number?
The NPI number for Jason Gosschalk is 1063116564. It was assigned to this individual provider in the NPPES registry on March 28, 2023.
Where is Jason Gosschalk located?
Jason Gosschalk practices at 747 Broadway, Seattle, WA 98122. The listed phone number is (206) 386-6000.
What is Jason Gosschalk's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Jason Gosschalk enrolled in Medicare?
Yes. Jason Gosschalk is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jason Gosschalk was last updated on March 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Jason Eddy Gosschalk, MD · NPI 1063116564
Student in an Organized Health Care Education/Training Program provider in Seattle, Washington. Individual provider, active in the CMS NPPES registry since March 28, 2023.
## Identity
- **NPI:** 1063116564 (Entity type: Individual)
- **Enumerated:** March 28, 2023
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 747 BROADWAY, Seattle, WA 98122-4307
- **Phone:** (206) 386-6000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** March 28, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1063116564) · Data from the CMS NPPES public registry.