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

Jonathan Kaiser Ploudre, MD

Individual provider Family Medicine Physician · NPI 1104827435

Jonathan Kaiser Ploudre, MD is a Family Practice in Mount Vernon, Washington. Graduated from East Tennessee State University Quillen College of Medicine in 2002, 24 years ago. Practices with Family Care Network, PLLC, a 124-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Washington.

Years since qualifying
24
Trained at
East Tennessee State University Quillen College of Medicine
Licensed in
WA
In the registry since
2005
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

2116 E Section St
Mount Vernon, WA 98274-9124
Phone: (360) 428-1700
Fax: (360) 848-4350
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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 MD00045195 (WA)

Record details

NPI number1104827435
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 9, 2005
Last updated in NPPESApril 27, 2026
Certification dateApril 27, 2026
Mailing address3610 Meridian St, Bellingham, WA 98225-1732

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolEAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Graduated 2002 (24 years in practice)
Group practice Family Care Network, Pllc — 124 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Mount Vernon