DR. DUSTIN LEE SHAWCROSS (NPI# 1043399975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043399975 |
| Entity Type | Individual |
| Full Name | DR. DUSTIN LEE SHAWCROSS |
| Credential | MD |
| Practice Address |
505 S 336th St Suite 600 Federal Way WA 98003-5947 |
| Mailing Address |
11567 Canterwood Blvd Nw Gig Harbor WA 98332-5812 |
| Practice Telephone | 8003368614 |
| Practice Fax Number | 2538386418 |
| Mailing Telephone | 2535302100 |
| Mailing Fax Number | 2538386418 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2010-09-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 146D00000X | Personal Emergency Response Attendant | MD25749 | OR | Emergency Medical Service Providers |
| Y | 207P00000X | Emergency Medicine | MD60062980 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | LIWA | 0246652 | 01 |
| WA | 8537680 | 05 | |
| WA | VCR | 8951562 | 01 |
| WA | VCR | 0249327 | 01 |
| WA | LIWA | 0249327 | 01 |
| WA | BSWA | 1008SH | 01 |
| WA | BSWA | 1044SH | 01 |
| WA | RRGA | P00775117 | 01 |
| Street Address |
505 S 336TH ST SUITE 600 |
| City | FEDERAL WAY |
| State | WA |
| Zip Code | 98003-5947 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023058203 | Richard Alan Bethke | Emergency Medicine | 505 S 336th St, Suite 600, Federal Way, WA 98003-6328 | 2006-06-07 |
| 1659789196 | Lora Lee Cork | Nurse Practitioner | 505 S 336th St, Suite 600, Federal Way, WA 98003-5947 | 2014-07-29 |
| 1043561749 | Andreas Joseph Bitterlich | Physician Assistant | 505 S 336th St, Suite 600, Federal Way, WA 98003-5947 | 2012-09-21 |
| 1407127442 | Northwest Physician Associates, Apc | Family Medicine | 505 S 336th St, Suite 600, Federal Way, WA 98003-5947 | 2012-01-23 |
| 1659684058 | Alison Katherine Willam | Emergency Medicine | 505 S 336th St, Suite 600, Federal Way, WA 98003-5947 | 2010-07-15 |
| 1922254978 | Yasmeen Ansari | Emergency Medicine | 505 S 336th St, #600, Federal Way, WA 98003-5947 | 2008-08-11 |
| 1407918915 | Benjamin Michael Green | Family Medicine | 505 S 336th St, Suite 500, Federal Way, WA 98003-5947 | 2006-12-14 |
| 1063516748 | Nichole L Smith | Physician Assistant | 505 S 336th St, Suite 600, Federal Way, WA 98003-5947 | 2006-09-12 |
| 1912942871 | Cheryll Handy | Physician Assistant | 505 S 336th St, Suite 600, Federal Way, WA 98003-6328 | 2006-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634969 | Jossie Jeniffer Wong-vicuna | Interpreter | 3001 S 288th Street, 201, Ferderal Way, WA 98003 | 2020-09-17 |
| 1336642420 | Otto Family | Massage Therapist | 720 S 348th St Ste A-1b, Federal Way, WA 98003 | 2018-03-14 |
| 1962912709 | Lindsay Plumley | Occupational Therapist | 33330 8th Avenue S, Federal Way, WA 98003 | 2017-10-06 |
| 1861922387 | Sea Mar Community Health Centers | Pharmacy | 31405 18th Ave South, Federal Way, WA 98003 | 2017-06-18 |
| 1023547072 | Iora Health Washington Physicians, P.C. | Internal Medicine | 1414 S. 324th Street, Federal Way, WA 98003 | 2017-06-05 |
| 1811346869 | Iora Senior Health Inc | Internal Medicine | 1414 S 324th St, Federal Way, WA 98003 | 2016-06-10 |
| 1972958940 | Kathy Marie Haviland | Registered Nurse | 1010 S. 336th St, Supplemental Health Care, Federal Way, WA 98003 | 2016-04-27 |
| 1972969343 | Jacklyn Marie James | Specialist | 530 South 336th Street, Ste C, Massage for Health and Day Spa, Inc., Federal Way, WA 98003 | 2016-01-14 |
| 1659767036 | Jillian Liner | Pediatrics | 34503 9th Ave S Ste 220, Federal Way, WA 98003 | 2015-04-12 |
| 1235537739 | Simranjit Singh Longia | Student in an Organized Health Care Education/Training Program | 34618 11th Ave. S., Suite 100, Federal Way, WA 98003 | 2014-12-15 |
| Find all providers in zip 98003 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013231737 | Aaron Christopher Laird | Emergency Medicine | 505 South 336th Street, Suite 600, Northwest Emergency Physicians, Federal Way, WA 98003 | 2010-03-24 |
| 1982864724 | Erin E Schneider | Emergency Medicine | 505 S 336th St Ste 600, Federal Way, WA 98003-5947 | 2008-06-16 |
| 1265640346 | Martin R. Marquez | Emergency Medicine | 1413 S 348th St, Federal Way, WA 98003-8373 | 2007-05-20 |
| 1235210287 | Rafael A Gonzalez-vizoso | Emergency Medicine | 3455 S 344th Way, Suite 210, Federal Way, WA 98001-9560 | 2006-10-18 |
| 1003852872 | Fredric T Lo | Emergency Medicine | 34515 9th Avenue South, Federal Way, WA 98003-6761 | 2006-06-21 |
| 1023058203 | Richard Alan Bethke | Emergency Medicine | 505 S 336th St, Suite 600, Federal Way, WA 98003-6328 | 2006-06-07 |
| 1619924206 | Melody C. Denson | Emergency Medicine | 505 S 336th Street Suite 600, Northwest Emergency Physicians of Team Health, Federal Way, WA 98003 | 2006-05-28 |
| 1659684058 | Alison Katherine Willam | Emergency Medicine | 505 S 336th St, Suite 600, Federal Way, WA 98003-5947 | 2010-07-15 |
| 1174766919 | Lisa Thu Nguyen | Emergency Medicine | 34515 9th Ave S, Federal Way, WA 98003-6761 | 2009-04-09 |
| 1922254978 | Yasmeen Ansari | Emergency Medicine | 505 S 336th St, #600, Federal Way, WA 98003-5947 | 2008-08-11 |
| Find all providers in FEDERAL WAY | ||||
| City | FEDERAL WAY |
| Zip Code | 98003 |
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| 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.