JONATHAN PEDERSON (DO) – Family Medicine Physician, NPI 1164446050

JONATHAN PEDERSON (DO) is a healthcare provider. based in Tacoma, Washington. specializing in Family Medicine Physician. They hold the professional credentials DO. They hold a License No. DOS 1119 (HI). The NPI Number for JONATHAN PEDERSON (DO) is 1164446050

Main info

Male
Sole Proprietor
Name
JONATHAN PEDERSON (DO)
NPI
1164446050
Phone
(253) 968-2252
Address
MADIGAN ARMY MEDICAL CENTER
Enumeration Date
26 July 2006
Last Update Date
6 January 2026
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for JONATHAN PEDERSON (DO)

  • MADIGAN ARMY MEDICAL CENTER

    9040 JACKSON AVE

    TACOMA, WA 984310001

    Phone: (253) 968-2252

    Type: Mailing

  • 580, Uluhaku Street, Maunawili, Pōhākupu, East Honolulu, Kailua, Honolulu County, Hawaii, 96734, United States

    KAILUA, HI 967344411

    Phone: (602) 316-9469

    Type: Mailing

  • USAMEDDAC 2480 LLEWELLYN AVE

    FORT GEORGE G MEADE MD, MD 20755

    Phone: (202) 685-3100

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98431)

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Reviews

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Frequently asked questions

What is the standard ID for JONATHAN PEDERSON (DO) in the U.S.?
In the U.S., JONATHAN PEDERSON (DO) is identified by NPI 1164446050.
Is JONATHAN PEDERSON (DO) currently accepting referrals based on NPI status?
Registry metadata lists JONATHAN PEDERSON (DO) as active.
What type of care does JONATHAN PEDERSON (DO) provide?
JONATHAN PEDERSON (DO)'s profile centers on Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to JONATHAN PEDERSON (DO)?
JONATHAN PEDERSON (DO) shows a connection to Tacoma, Washington in registry-derived data.
Can I export JONATHAN PEDERSON (DO)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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