MR. SHELDON BURDELL WATSON


Address: Madigan Army Medical Center/okubo Clinic, 9040 Jackson Ave, Tacoma, WA 98431-1730
Phone: 2539667546

MR. SHELDON BURDELL WATSON (NPI# 1013973205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013973205
Entity Type Individual
Full Name MR. SHELDON BURDELL WATSON
Credential PA-C
Practice Address Madigan Army Medical Center/okubo Clinic
9040 Jackson Ave
Tacoma
WA 98431-1730
Mailing Address 412 Amds/sgpf
30 Nightingale Rd
Edwards Afb
CA 93534-1730
Practice Telephone 2539667546
Mailing Telephone 6612772575
Enumeration Date 2006-04-25
Last Update Date 2020-08-25
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
1036622 GA Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
412 Amds/sgpf, 30 Nightingale Road, Edwards Afb, CA 935341730 6612772575

Office Location

Street Address MADIGAN ARMY MEDICAL CENTER/OKUBO CLINIC
9040 JACKSON AVE
City TACOMA
State WA
Zip Code 98431-1730

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497212260 Catrina Renee Grugin Registered Nurse Madigan Army Medical Center, Attn Mchj-clq-c, 9040 Jackson Ave, Tacoma, WA 98431 2019-02-27
1801307681 Bianca Gomez Dental Assistant Bldg 9900 Lincoln Street, Jblm, WA 98431 2017-10-19
1184133225 Darren Paris Registered Nurse Madigan Army Medical Center 9040 Jackson Ave., Attn: Mchj-clq-c, Tacoma, WA 98431 2017-09-20
1922538206 Sarah Frerichs Dentist Madigan Annex, Second Floor, Bldg. 9900, Apo, AA 98431 2017-06-19
1740736495 Misty Hill Dental Assistant 9119 Mill Park Ave, Tacoma, WA 98431 2016-08-31
1336695535 Jacqueline D Massouda Dentist Jblm Dentac, 9900 Lincoln Sreet, 2nd Floor, Apo, AA 98431 2016-08-28
1609239375 Gregg V Palmer Licensed Practical Nurse 17th and C Street, Bldg 11582, Tacoma, WA 98431 2016-03-31
1114323904 Deanna Sheets Nurse Practitioner 911 Mil Park Ave, Tacoma, WA 98431 2014-11-06
1679905434 Austin William Schaar Dentist Building 9900, 2nd Floor, Tacoma, WA 98431 2013-08-05
1518209758 Maurice Ibrahim Khayat Internal Medicine 9040 Jackson Ave Mche-qd (creds), Tacoma, WA 98431 2013-03-26
Find all providers in zip 98431

Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407300098 Joshua David Evans Physician Assistant 9040 Jackson Ave Mchj Clq C, Tacoma, WA 98431-1100 2016-08-11
1790177731 Taylor Marquardt Physician Assistant 1624 S I St Ste 305, Tacoma, WA 98405-5093 2015-02-27
1134540909 Otis Lawrence Physician Assistant 608 E 62nd St, Tacoma, WA 98404-1935 2013-12-22
1689905788 Jason F Naylor Physician Assistant 9040 Jackson Avenu, Tacoma, WA 98431-7037 2010-01-29
1952536146 Eric Vangsnes Physician Assistant 9040 Reid St., Attn: Mchj-qcr, Tacoma, WA 98431-1100 2009-05-18
1801048731 Anthony Cee Charles Physician Assistant 1307 Martin Luther King Jr Way, Tacoma, WA 98405-3929 2008-10-22
1083742480 Darin W Smith Physician Assistant 1623 E J St, Tacoma, WA 98421-1602 2007-02-28
1417045857 Kenneth Leo Fleck Physician Assistant 910 Tacoma Ave S, Tacoma, WA 98402-2104 2006-10-11
1912924366 Marthe Butzen Physician Assistant 1708 E. 44th Street, Tacoma, WA 98404 2006-07-15
1851351522 Craig Philip Wallace Physician Assistant Va Puget Sound, American Lake Division, Tacoma, WA 98493-0001 2006-03-25
Find all providers in TACOMA

Competitor

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City TACOMA
Zip Code 98431

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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