DR. JOHN G SISLOW (NPI# 1245204007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245204007 |
| Entity Type | Individual |
| Full Name | DR. JOHN G SISLOW |
| Credential | M.D. |
| Practice Address |
55 W Tietan St Walla Walla WA 99362-4445 |
| Practice Telephone | 5095253720 |
| Practice Fax Number | 5095221573 |
| Mailing Telephone | 5095253720 |
| Mailing Fax Number | 5095221592 |
| Enumeration Date | 2006-02-16 |
| Last Update Date | 2007-11-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | MD00021765 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | L&I | 60723 | 01 |
| OR | 98608 | 05 | |
| WA | 8130346 | 05 |
| Street Address |
55 W TIETAN ST |
| City | WALLA WALLA |
| State | WA |
| Zip Code | 99362-4445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831193747 | Karen Henderson | Pediatrics | 55 W Tietan St, Walla Walla, WA 99362-4445 | 2005-06-08 |
| 1639776370 | Amanda Jo Stepper | Advanced Practice Midwife | 55 W Tietan St, Walla Walla, WA 99362-4445 | 2020-10-06 |
| 1891346649 | David Andrew Forsyth | Registered Nurse | 55 W Tietan St, Walla Walla, WA 99362-4445 | 2019-09-24 |
| 1104306695 | Gunnar Leighton James Sjoren | Physical Therapist | 55 W Tietan St, Walla Walla, WA 99362-4498 | 2018-08-15 |
| 1295235281 | Megan Renee Freismidl | Physician Assistant | 55 W Tietan St, Walla Walla, WA 99362-4445 | 2018-02-15 |
| 1508388992 | Rosemary Welser | Social Worker | 55 W Tietan St, Walla Walla, WA 99362-4445 | 2017-07-07 |
| 1093190886 | Diana Fitzgerald | Audiologist | 55 W Tietan St, Walla Walla, WA 99362-4445 | 2015-07-22 |
| 1962885210 | Ronald Q. Ferranco | Nurse Practitioner | 55 W Tietan St, Walla Walla, WA 99362-4445 | 2015-07-06 |
| 1083096440 | Rebekah Dickman | Pediatrics | 55 W Tietan St, Walla Walla, WA 99362 | 2015-06-22 |
| 1851787709 | Brent E Winterbottom | Physical Therapist | 55 W Tietan St, Walla Walla, WA 99362-4445 | 2015-04-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164065959 | Kevin Gia-minh Phan | Optometrist | Walla Walla Vamc Bldg 86, Walla Walla, WA 99362 | 2019-10-24 |
| 1659836401 | Arlene Lavonne Whitney | Social Worker | 1361 Dalles Military Road, Walla Walla, WA 99362 | 2019-02-06 |
| 1053880674 | Julie Ann Cooke | Speech-Language Pathologist | Providence St. Mary Medical Center, 401 W. Poplar St., Walla Walla, WA 99362 | 2018-11-14 |
| 1558887133 | Chantey Walker | Massage Therapist | 1840 Pleasant St, Walla Walla, WA 99362 | 2017-08-16 |
| 1447798723 | Carrie S Diede | Speech-Language Pathologist | 410 West Poplar Street, Rehabilitation Services, Walla Walla, WA 99362 | 2017-02-07 |
| 1235584103 | Anchor Point Counseling Pllc | Clinic/Center | 2330 Eastgate St. Ste. 140, Walla Walla, WA 99362 | 2016-04-28 |
| 1548627011 | Washington State Walla Walla Veterans Home | Skilled Nursing Facility | 92 Wainwright Drive, Walla Walla, WA 99362 | 2016-01-28 |
| 1073926200 | Sherry Goff | Registered Nurse | 11120 W Rose St, Family Medical Center, Walla Walla, WA 99362 | 2014-06-05 |
| 1538597935 | Michael Wade Gillespie | Orthopaedic Surgery | 101 Brookside Drive, Walla Walla, WA 99362 | 2013-10-22 |
| 1023357985 | Sandra Kay Bushnell | Speech-Language Pathologist | 1105 Isaacs Ave, Walla Walla, WA 99362 | 2013-02-12 |
| Find all providers in zip 99362 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417191057 | Providence Health & Services - Washington | Urology | 301 W Poplar St, Suite 50, Walla Walla, WA 99362-2858 | 2009-04-27 |
| 1932113347 | David A Hutton | Urology | 380 Chase Ave, Walla Walla, WA 99362-2924 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371532 | Jeffrey Allen Zhan | Urology | Good Samaritan Medical Office Bldg 1450 5th St Se, Suite 2100- Urology Clinic, Puyallup, WA 98372 | 2019-11-21 |
| 1023400041 | Pacific Northwest Urology Specialists, Pllc | Urology | 4545 Cordata Pkwy Ste 1a, Bellingham, WA 98226-7264 | 2015-02-27 |
| 1598182818 | Boston Medical Group- Washington, P.C. | Urology | 12301 N.e. 10th Place, Suite 101, Bellevue, WA 98005 | 2014-03-25 |
| 1033552823 | Carol Collins | Urology | 272 Health Sciences, 1959 Ne Pacific St, Seattle, WA 98195-7610 | 2013-04-10 |
| 1740523158 | Kacey Helena Provenzano | Urology | 780 Swift Blvd Ste 201, Richland, WA 99352 | 2013-04-03 |
| 1023366283 | William P Griggs | Urology | 2160 Dellesta Dr, Bellingham, WA 98226-7850 | 2012-08-20 |
| 1710242714 | Ralph Vernon Stagner | Urology | 3414 Horsehead Bay Dr. N.w., Gig Harbor, WA 98335 | 2012-07-06 |
| 1043579980 | Richard Kenneth Ohme | Urology | 3108 E Bay Dr Nw, Gig Harbor, WA 98335-7610 | 2012-05-13 |
| 1730447731 | Daniel Christian Sackman | Urology | 3124 South 19th St #c320, Tacoma, WA 98405-3011 | 2012-04-26 |
| 1144595299 | Philip Clark May | Urology | 11911 Ne 132nd St Ste 200, Kirkland, WA 98034 | 2012-03-21 |
| Find all providers with the same taxonomy | ||||
| City | WALLA WALLA |
| Zip Code | 99362 |
Please comment or provide details below to improve the information on DR. JOHN G SISLOW.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.