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

Individual provider Family Medicine Physician · NPI 1447302658

Frederick John Gunningham, MD is a Family Practice in Walla Walla, Washington. Graduated from University of Washington School of Medicine in 1987, 39 years ago. Practices with Providence Health and Services - Washington, a 264-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
39
Trained at
University of Washington School of Medicine
Licensed in
WA
In the registry since
2007
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

1025 S 2nd Ave
Walla Walla, WA 99362-4116
Phone: (509) 897-3000
Fax: (509) 897-5898
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD00026780 (WA)

Record details

NPI number1447302658
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 17, 2007
Last updated in NPPESMay 25, 2021
Certification dateMay 25, 2021
Mailing address1025 S 2nd Ave, Walla Walla, WA 99362-4116

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated 1987 (39 years in practice)
Group practice Providence Health And Services - Washington — 264 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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