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DR. JOHN ANTON FACKENTHALL D.O.
NPI 1568449288
Family Medicine in Walla Walla, WA

Active since December 22, 2005
1312 E ISAACS AVE, WALLA WALLA, WA 99362(509) 252-4100(509) 529-7033 Get Directions Write a Review

NPPES record last updated: January 3, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. John Anton Fackenthall D.o. NPPES

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

DR. JOHN ANTON FACKENTHALL D.O. (NPI 1568449288) is an individual family medicine provider in Walla Walla, Washington, licensed in Washington (OP00000703) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1568449288
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JOHN ANTON FACKENTHALLCredential: D.O.
Location Address1312 E ISAACS AVEWalla Walla, WA 99362-2152
Mailing Address1312 E Isaacs AveWalla Walla, WA 99362-2152 · (509) 525-4100
Phone(509) 252-4100
Fax(509) 529-7033
Sole ProprietorYes
Enumeration DateDecember 22, 2005
Last NPPES UpdateJanuary 3, 2013
✔ NPI 1568449288 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 · OP00000703
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.
1312 E ISAACS AVE, Walla Walla, WA 99362
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Other Identifiers 4

OtherG8850948WA · Medicare Group Pin
Medicare ID-Type Unspecified8851221WA
Medicaid1252808WA
Medicare UPINE20270WA

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.

JOHN ANTON FACKENTHALL
Family Medicine
1312 E ISAACS AVE
WALLA WALLA, WA 99362
Walla Walla County (509) 525-4100
DNS GROUP LLC
Nurse Practitioner (Psychiatric/Mental Health)
1312 E ISAACS AVE
WALLA WALLA, WA 99362
Walla Walla County (509) 200-2579

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 Fackenthall's NPI number?

The NPI number for John Fackenthall is 1568449288. It was assigned to this individual provider in the NPPES registry on December 22, 2005.

Where is John Fackenthall located?

John Fackenthall practices at 1312 E Isaacs Ave, Walla Walla, WA 99362. The listed phone number is (509) 252-4100.

What is John Fackenthall'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 John Fackenthall was last updated on January 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.