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

Scott Johnson

Individual provider Physician Assistant · NPI 1477949824

Scott Johnson is a Physician Assistant in Bellingham, Washington. Qualified in 2014, 12 years ago. Practices with Proliance Surgeons Inc P S, a 394-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
12
Licensed in
WA
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

4280 Meridian St Ste 120
Bellingham, WA 98226-6464
Phone: (360) 734-4300
Fax: (360) 734-2128
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2979 Squalicum Pkwy Ste 203, Bellingham, WA 98225-1813 — (360) 733-7670

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA60544542 (WA)
Physician Assistant Taxonomy 363A00000X · Licence PA60544542 (WA)

Record details

NPI number1477949824
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 13, 2015
Last updated in NPPESFebruary 20, 2024
Certification dateFebruary 20, 2024
Mailing address4280 Meridian St Ste 120, Bellingham, WA 98226-6464

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Proliance Surgeons Inc P S — 394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Bellingham