MEDICARE: DR. JASON BLAIR CABOOT M.D.

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	2080P0214X	Pediatric Pulmonology Physician	0101234474	VA
2	208000000X	Pediatrics Physician	0101234474	VA

General Provider Information

NPI Number	:	1518968940
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JASON BLAIR CABOOT M.D.

Provider Business Mailing Address
First Line	:	2902 63RD AVENUE CT NW
Second Line	:
City	:	GIG HARBOR
State	:	WA
Zip	:	98335-8454
Country	:	US
Telephone Number	:	253-649-0497
Fax Number	:	253-968-5294

Provider Business Practice Location Address
First Line	:	9040 JACKSON AVE DEPT OF PEDIATRICS
Second Line	:
City	:	TACOMA
State	:	WA
Zip	:	98431-0001
Country	:	US
Telephone Number	:	253-968-2310
Fax Number	:	253-968-5294

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

Provider Enumeration Date	:	08/09/2005
Last Update Date	:	11/13/2023

Similar Medicare Providers

1447105739 — KEVIN BURKE CASEY
Practice Location Address:

9040 JACKSON AVENUE
TACOMA, WA
98431-0001

Practice Phone: 253-968-3066
Practice Fax:

1699432856 — MRS. ELIZABETH JANE WHITAKER
Practice Location Address:

9040 JACKSON AVE
TACOMA, WA
98431-0001

Practice Phone: 443-784-1553
Practice Fax:

1942946066 — RAFAEL YAMEL SALAS LMSW
Practice Location Address:

9040 JACKSON AVE
TACOMA, WA
98431-0001

Practice Phone: 253-968-3869
Practice Fax: 253-968-3219

1396740254 — DR. DENNIS HUANG DPM
Practice Location Address:

MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE
TACOMA, WA
98431-0001

Practice Phone: 253-968-1614
Practice Fax:

1841296886 — MRS. DENISE MARIE HALASZ ARNP
Practice Location Address:

9040 A FITZSIMMONS AVE.
TACOMA, WA
98431-0001

Practice Phone: 253-967-9594
Practice Fax:

1386641694 — DR. MUHAMMAD AYUB MD
Practice Location Address:

9040 JACKSON AVE MADIGAN ARMY MEDICAL CENTER
TACOMA, WA
98431-0001

Practice Phone: 253-968-5779
Practice Fax: 253-968-1678

Directions to “ DR. JASON BLAIR CABOOT M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.