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.

See every abbreviation used in this directory →

Practice location Address checks out

12333 NE 130th Ln Ste 420
Kirkland, WA 98034-7467
Phone: (206) 838-2590
Fax: (206) 264-8689
Show map & directions

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

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