JOHNNY MICHAEL JONES PA-C
NPI 1174692198
Specialist in Anacortes, WA

Active since November 06, 2006
715 SEAFARERS WAY, STE 201 B, ANACORTES, WA 98221(360) 588-1460(360) 588-1473 Get Directions Write a Review

NPPES record last updated: September 1, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Johnny Michael Jones Pa-c NPPES

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

JOHNNY MICHAEL JONES PA-C (NPI 1174692198) is an individual specialist in Anacortes, Washington, licensed in Washington (PA10004470) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1174692198
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameJOHNNY MICHAEL JONESCredential: PA-C
Location Address715 SEAFARERS WAY, STE 201 BAnacortes, WA 98221-2257
Mailing AddressPo Box 1048Anacortes, WA 98221-1048 · (360) 588-1460 · Fax (360) 588-1473
Fax(360) 588-1473
Sole ProprietorNo
Enumeration DateNovember 6, 2006
Last NPPES UpdateSeptember 1, 2011
NPI 1174692198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in WA · PA10004470
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Also ListedPhysician AssistantTaxonomy 363A00000X · License 10004470 (WA)
715 SEAFARERS WAY, Anacortes, WA 98221

Other Identifiers 5

Medicare UPING8900703WA
Other277551WA · State Of Wa L & I
Medicare UPINS51660WA
Medicaid1174822159WA
Medicaid1174692198WA

Accepted Insurance

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
715 SEAFARERS WAY, STE 201 B
ANACORTES, WA 98221
Nurse Practitioner
715 SEAFARERS WAY, STE 201B
ANACORTES, WA 98221

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174692198, enumerated as an "individual" on November 06, 2006.

The provider is located at 715 SEAFARERS WAY STE 201 B ANACORTES, WA 98221 and the phone number is (360) 588-1460.

Specialist with taxonomy code 174400000X.

The provider might be accepting Accepts: PacificSource Health Plans, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.