Provider Demographics
NPI:1013939438
Name:ROOKS, JOHN JAMES (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:JAMES
Last Name:ROOKS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:J
Other - Middle Name:JAMES
Other - Last Name:ROOKS
Other - Suffix:JR
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:7424 BRIDGEPORT WAY W STE 305
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98499-8135
Mailing Address - Country:US
Mailing Address - Phone:253-301-6960
Mailing Address - Fax:253-582-5938
Practice Address - Street 1:7424 BRIDGEPORT WAY W
Practice Address - Street 2:#305
Practice Address - City:LAKEWOOD
Practice Address - State:WA
Practice Address - Zip Code:98499-8120
Practice Address - Country:US
Practice Address - Phone:253-301-6962
Practice Address - Fax:253-582-5938
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2012-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00026495174400000X, 207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1120062Medicaid
WAD57996Medicare UPIN