DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JERRY JOHN, MD

Active

JERRY JOHN, MD is a Clinical Cardiac Electrophysiology healthcare provider located in TACOMA, Washington. NPI 1659440543 is currently active in the NPPES registry. Verify at CMS.

Clinical Cardiac Electrophysiology · TACOMA, WA

Registration Details

NPI Number
1659440543
Provider Type
Individual
Gender
Male
NPI Issued
Nov 7, 2006 (19.5853038889 yrs)
Last Updated
Dec 24, 2025
Licenses
0101274896 (VA)
MD61593680 (WA)
200501438 (NC)
5210479-1205 (UT)

Practice Information

Address
1901 S CEDAR ST STE 101
TACOMA, WA, 984052302
Browse WA providers · Browse ZIP 98405
Phone
2533015370
Fax
2533015379
Primary Specialty
Clinical Cardiac Electrophysiology
207RA0001X
Additional Specialty
Internal Medicine
Additional Specialty
Cardiovascular Disease

Other Clinical Cardiac Electrophysiology Providers in TACOMA, WA

Name Credential NPI
DR. MYUNG HEE PARK M.D. 1205875986
DAVID YI ZHANG M.D. 1922274968
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.