Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. John S Ebisu, MD

Individual provider Surgery Physician · NPI 1508835273

Dr. John S Ebisu, MD is a Surgery Physician in Kirkland, Washington. Licensed in Washington. Registered with an NPI since 2006.

Licensed in
WA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

12333 NE 130th Ln Ste 420
Kirkland, WA 98034-7467
Phone: (206) 838-2590
Fax: (206) 264-8689
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence MD00027066 (WA)

Record details

NPI number1508835273
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 15, 2006
Last updated in NPPESOctober 7, 2011
Mailing address805 Madison St, Suite 901, Seattle, WA 98104-1172

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