DR. JOHN BURK GOSSOM MD
NPI 1245221886
Family Medicine - Geriatric Medicine in Friday Harbor, WA

Active since November 02, 2005
689 AIRPORT CENTER DR, STE B, FRIDAY HARBOR, WA 98250(360) 378-1338(360) 378-1830 Get Directions Write a Review

NPPES record last updated: March 4, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. John Burk Gossom Md NPPES

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

DR. JOHN BURK GOSSOM MD (NPI 1245221886) is an individual geriatric medicine provider in Friday Harbor, Washington, licensed in Washington (MD00018422) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1245221886
Entity TypeIndividualMale
Primary Taxonomy207QG0300X
Provider Legal NameDR. JOHN BURK GOSSOMCredential: MD
Location Address689 AIRPORT CENTER DR, STE BFriday Harbor, WA 98250
Mailing AddressPo Box 1550Friday Harbor, WA 98250-1550 · (360) 378-1338 · Fax (360) 378-1830
Fax(360) 378-1830
Sole ProprietorYes
Enumeration DateNovember 2, 2005
Last NPPES UpdateMarch 4, 2011
NPI 1245221886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
License Licensed in WA · MD00018422
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
689 AIRPORT CENTER DR, Friday Harbor, WA 98250

Other Identifiers 17

Other98250A003Triwest
Other532300001Group Health
Other912109329First Choice
Other5877GORegence Blue Shield
Other8937843Crime Victims
Other912109329Cigna Beech St
Other361929500Us Dept Of Labor
Other0152514Labor And Industries
Other912109329Tax Id
Other912109329Community Healthplan Of W
Medicare UPINE17984
Other912109329Premera Blue Cross
OtherMD00018422License Number
Other912109329Triwest
Medicare ID-Type UnspecifiedAB23629
Other5403470Ccn
Other8101404Dshs

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 Gossom's NPI number?

The NPI number for John Gossom is 1245221886. It was assigned to this individual provider in the NPPES registry on November 2, 2005.

Where is John Gossom located?

John Gossom practices at 689 Airport Center Dr Ste B, Friday Harbor, WA 98250. The listed phone number is (360) 378-1338.

What is John Gossom's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

When was this NPI record last updated?

The NPPES record for John Gossom was last updated on March 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.