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DR. JOHN S EBISU M.D.
NPI 1508835273
Surgery in Kirkland, WA

Active since March 15, 2006
12333 NE 130TH LN, SUITE 420, KIRKLAND, WA 98034(206) 838-2590(206) 264-8689 Get Directions Write a Review

NPPES record last updated: October 7, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. John S Ebisu M.d. NPPES

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

DR. JOHN S EBISU M.D. (NPI 1508835273) is an individual surgery provider in Kirkland, Washington, licensed in Washington (MD00027066) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1508835273
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. JOHN S EBISUCredential: M.D.
Location Address12333 NE 130TH LN, SUITE 420Kirkland, WA 98034-7467
Mailing Address805 Madison St, Suite 901Seattle, WA 98104-1172 · (206) 264-8100 · Fax (206) 264-8689
Phone(206) 838-2590
Fax(206) 264-8689
Sole ProprietorNo
Enumeration DateMarch 15, 2006
Last NPPES UpdateOctober 7, 2011
✔ NPI 1508835273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in WA · MD00027066
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
12333 NE 130TH LN, Kirkland, WA 98034
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Other Identifiers 2

Medicare UPINF42710WA
Medicare ID-Type UnspecifiedAB27911WA

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.

KIRSTEN MYHRES M.S.
Genetic Counselor, MS
12333 NE 130TH LN, TAN 240
KIRKLAND, WA 98034
King County (425) 899-2221
DR. MICHAEL A TOWBIN M.D.
Surgery
12333 NE 130TH LN, SUITE 420
KIRKLAND, WA 98034
King County (425) 899-5500
MS. KATHERINE LOUISE BATTS PA-C
Physician Assistant (Surgical)
12333 NE 130TH LN, SUITE 420
KIRKLAND, WA 98034
King County (425) 250-4700
KING COUNTY PUBLIC HOSPITAL DISTRICT NO. 2
Clinic/Center (Ambulatory Surgical)
12333 NE 130TH LN, #420
KIRKLAND, WA 98034
King County (425) 899-5500
VIRGINIA RETKA MSPA
Audiologist
12333 NE 130TH LN
KIRKLAND, WA 98034
King County (425) 899-5050
BARBARA G HALLUM ARNP
Nurse Practitioner
12333 NE 130TH LN, #302
KIRKLAND, WA 98034
King County (425) 899-0555
DR. ANNE MCLAURIN LIKOSKY MD
Dermatology
12333 NE 130TH LN, SUITE 330
KIRKLAND, WA 98034
King County (425) 899-3376
DR. LINDY S KLAFF M.D.
Internal Medicine (Pulmonary Disease)
12333 NE 130TH LN, SUITE 225
KIRKLAND, WA 98034
King County (425) 899-6972

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 Ebisu's NPI number?

The NPI number for John Ebisu is 1508835273. It was assigned to this individual provider in the NPPES registry on March 15, 2006.

Where is John Ebisu located?

John Ebisu practices at 12333 NE 130th Ln Suite 420, Kirkland, WA 98034. The listed phone number is (206) 838-2590.

What is John Ebisu's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for John Ebisu was last updated on October 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.