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Deactivated NPI 1669478624 Deactivated / Inactive NPI Male Practitioner

Dr. David Johnson , MD

Pediatrics • Bellingham, WA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. David Johnson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 24, 2005
NPI Deactivation Date December 14, 2022
Total Practice Duration ~17 Years of Practice (2005 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. David Johnson, MD was a registered Pediatrics practicing in Bellingham, WA. Throughout an active medical career spanning 17 years, Dr. Johnson provided care at the practice location at 4545 CORDATA PKWY until profile deactivation on 2022-12-14.

Practice Location & Contact Primary Location

Practice Address

4545 Cordata Pkwy

Bellingham, WA 982267123

Telephone 3607382200
Associated Practice Facility / Clinic
🏢 Madrona Medical Group, P.s. Facility NPI 1659362143

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Bellingham, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.5 Yrs
State Avg: 18.8 Yrs
Regional Practice Density
39 Specialists

Practicing in Bellingham, WA (1802 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License WA MD00013420

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Melanie Hartley , ARNP

Nurse Practitioner - Pediatrics, Critical Care

NPI 1003193632

Advanced Registered Nurse Practitioner

Dr. Leslie Houck , MD

Obstetrics & Gynecology - Gynecology

NPI 1033108360

Doctor of Medicine (M.D.)

Joan Cervisi , ARNP

Nurse Practitioner - Pediatrics

NPI 1073656708

Advanced Registered Nurse Practitioner

Sukhjit Shergill

Internal Medicine

NPI 1073882395
Dr. Diana Guza-Wells , MD

Internal Medicine

NPI 1083664049

Doctor of Medicine (M.D.)

Radu Ivan , ARNP

Nurse Practitioner - Adult Health

NPI 1093056046

Advanced Registered Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated December 14, 2022

Record deactivated on December 14, 2022

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 4545 CORDATA PKWY, BELLINGHAM, WA 982267123 (Tel: 3607382200)

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Updated Business Mailing Address July 08, 2007

Registered at 4545 CORDATA PKWY, BELLINGHAM, WA 982267123 (Tel: 3607382200)

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Provider Name / Credentials Updated July 08, 2007

Recorded as DAVID JOHNSON, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pediatrics (License #MD00013420 in WA)

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Initial NPI Registration & Enumeration June 24, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1669478624
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 24, 2005
Last Update: July 08, 2007
Deactivation Date: December 14, 2022

Mailing Address

4545 Cordata Pkwy

Bellingham, WA 982267123

Phone: 3607382200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.