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Deactivated NPI 1215972088 Deactivated / Inactive NPI Male Practitioner

Dr. John E Kooiker , MD

Specialist • Olympia, 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. John Kooiker has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 17, 2006
NPI Deactivation Date June 05, 2017
Total Practice Duration ~11 Years of Practice (2006 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. John Kooiker, MD was a registered Specialist practicing in Olympia, WA. Throughout an active medical career spanning 11 years, Dr. Kooiker provided care at the practice location at 418 CARPENTER RD SE until profile deactivation on 2017-06-05.

Practice Location & Contact Primary Location

Practice Address

418 Carpenter Rd Se
202

Olympia, WA 985037930

Telephone 3603574313
Fax 3603570845

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Olympia, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 36.3 Yrs
State Avg: 35.4 Yrs
Regional Practice Density
114 Specialists

Practicing in Olympia, WA (2751 Statewide)

Telehealth Adoption Rate
1.8% 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

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License WA MD00018680

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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 June 05, 2017

Record deactivated on June 05, 2017

NPI Profile Active June 27, 2008

NPI status registered as active in NPPES database

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Updated Practice Location June 27, 2008

Registered at 418 CARPENTER RD SE, 202, OLYMPIA, WA 985037930 (Tel: 3603574313)

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Updated Business Mailing Address June 27, 2008

Registered at 418 CARPENTER RD SE, 202, OLYMPIA, WA 985037930 (Tel: 3603574313)

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Provider Name / Credentials Updated June 27, 2008

Recorded as JOHN KOOIKER, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 27, 2008

Specialist (License #MD00018680 in WA)

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Initial NPI Registration & Enumeration June 17, 2006

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: 1215972088
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 17, 2006
Last Update: June 27, 2008
Deactivation Date: June 05, 2017

Mailing Address

418 Carpenter Rd Se, 202

Olympia, WA 985037930

Phone: 3603574313

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.