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DR. GREGORY MARK ENNIS M.D.
NPI 1245220672
Family Medicine in Gig Harbor, WA

Active since October 26, 2005
6401 KIMBALL DR, GIG HARBOR, WA 98335(253) 858-9192(253) 985-2853 Get Directions Write a Review

NPPES record last updated: December 3, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Gregory Mark Ennis M.d. NPPES

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

DR. GREGORY MARK ENNIS M.D. (NPI 1245220672) is an individual family medicine provider in Gig Harbor, Washington, licensed in Washington (MD60105263) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1245220672
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. GREGORY MARK ENNISCredential: M.D.
Location Address6401 KIMBALL DRGig Harbor, WA 98335-1228
Mailing Address6401 Kimball DrGig Harbor, WA 98335-1228 · (253) 858-9192 · Fax (253) 985-2853
Phone(253) 858-9192
Fax(253) 985-2853
Sole ProprietorNo
Enumeration DateOctober 26, 2005
Last NPPES UpdateDecember 3, 2020
NPPES CertifiedDecember 3, 2020
✔ NPI 1245220672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WA · MD60105263
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
6401 KIMBALL DR, Gig Harbor, WA 98335
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Other Identifiers 2

Medicaid2040574WA
Medicaid1366539421WA

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.

WAJAHAT ALI KHAN M.D.
General Practice
6401 KIMBALL DR
GIG HARBOR, WA 98335
Pierce County (253) 858-9192
FRANCISCAN MEDICAL GROUP
Optometrist
6401 KIMBALL DR
GIG HARBOR, WA 98335
Pierce County (253) 502-5965
FRANCIS AMADO DIZON MERCADO M.D.
Internal Medicine
6401 KIMBALL DR
GIG HARBOR, WA 98335
Pierce County (253) 858-9192
FRANCISCAN MEDICAL GROUP
Family Medicine
6401 KIMBALL DR
GIG HARBOR, WA 98335
Pierce County (253) 585-9194
JESUS VICENTE CASINO M.D.
Internal Medicine
6401 KIMBALL DR
GIG HARBOR, WA 98335
Pierce County (253) 858-9192
PAZ IVY CORRO-CASINO MD
Internal Medicine
6401 KIMBALL DR
GIG HARBOR, WA 98335
Pierce County (253) 858-9192
DR. CORRIE A NAASZ MD
Internal Medicine
6401 KIMBALL DR
GIG HARBOR, WA 98335
Pierce County (253) 858-9192
FRANCISCAN MEDICAL GROUP
Urology
6401 KIMBALL DR, 2ND FLOOR
GIG HARBOR, WA 98335
Pierce County (253) 858-9192

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 Gregory Ennis's NPI number?

The NPI number for Gregory Ennis is 1245220672. It was assigned to this individual provider in the NPPES registry on October 26, 2005.

Where is Gregory Ennis located?

Gregory Ennis practices at 6401 Kimball Dr, Gig Harbor, WA 98335. The listed phone number is (253) 858-9192.

What is Gregory Ennis's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Gregory Ennis was last updated on December 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.