MEDICARE: DR. JAMES LEONARD GAJEWSKI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RH0003X	Hematology & Oncology Physician	G57111	CA
2	207RH0003X	Hematology & Oncology Physician	MD.61306843	WA
3	207R00000X	Internal Medicine Physician	MD61306843	WA
4	207R00000X	Internal Medicine Physician	G57111	CA
5	207RH0003X	Hematology & Oncology Physician	DR.0071741	CO
6	207RH0003X	Hematology & Oncology Physician	J3475	TX
7	207RH0003X	Hematology & Oncology Physician	MD27403	OR
8	207RH0003X	Hematology & Oncology Physician	MD61306843	WA
9	207R00000X	Internal Medicine Physician	DR.00717741	CO

General Provider Information

NPI Number	:	1356349112
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES LEONARD GAJEWSKI MD

Provider Business Mailing Address
First Line	:	9040 JACKSON AVE
Second Line	:	MADIGAN ARMY HOSPITAL
City	:	JOINT BASE LEWIS MCCHORD
State	:	WA
Zip	:	98431-0001
Country	:	US
Telephone Number	:	503-352-8657
Fax Number	:	253-968-1110

Provider Business Practice Location Address
First Line	:	9040 JACKSON AVE
Second Line	:
City	:	JOINT BASE LEWIS MCCHORD
State	:	WA
Zip	:	98431-0001
Country	:	US
Telephone Number	:	253-968-1110
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/14/2005
Last Update Date	:	09/05/2025

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