PETER B SHELLEY MD PS (NPI# 1184893901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184893901 |
| Entity Type | Organization |
| Organization Name | PETER B SHELLEY MD PS |
| Other Organization Name | FEDERAL WAY EYE & LASER CENTER |
| Practice Address |
32123 1st Ave S Suite A-3 Federal Way WA 98003-5721 |
| Practice Telephone | 2538386272 |
| Practice Fax Number | 2538742690 |
| Mailing Telephone | 2538386272 |
| Mailing Fax Number | 2538742690 |
| Enumeration Date | 2008-02-26 |
| Last Update Date | 2008-02-26 |
| Authorized Official Name | MS. DORIS L WILSON (OFFICE MANAGER) |
| Authorized Official Telephone | 2538386272 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
MD00018850 | WA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1748805 | 05 |
| Other Name | Type Code |
|---|---|
| Federal Way Eye & Laser Center | Doing Business As Name - Organization |
| Street Address |
32123 1ST AVE S SUITE A-3 |
| City | FEDERAL WAY |
| State | WA |
| Zip Code | 98003-5721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093808891 | Peter B Shelley | Specialist | 32123 1st Ave S, Suite A-3, Federal Way, WA 98003-5721 | 2006-10-02 |
| 1457865701 | Lisa Marie Kissler | Massage Therapist | 32123 1st Ave S, Federal Way, WA 98003-5721 | 2017-11-24 |
| 1053537639 | Tia M Smith | Massage Therapist | 32123 1st Ave S, Suite A-4, Federal Way, WA 98003-5721 | 2007-04-18 |
| 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 | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346678364 | Brittany Ann Jensen | Clinic/Center | 33650 6th Avenue South-suite 100, Federal Way, WA 98003 | 2013-10-30 |
| 1598054462 | The Nw Injury Clinic Pllc | Clinic/Center | 32015 1st Ave S, Federal Way, WA 98003-5701 | 2011-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558784 | Barono Consulting LLC | Clinic/Center | 23449 28th Ave S, Des Moines, WA 98198-8724 | 2020-11-03 |
| 1396381653 | Meghan Devonport, Lmp | Clinic/Center | 1417 Nw 54th St Ste 455, Seattle, WA 98107-3564 | 2019-11-21 |
| 1982255626 | Pnw Acupuncture and Wellness Pllc | Clinic/Center | 9559 Sand Point Way Ne, Seattle, WA 98115-2621 | 2019-09-24 |
| 1144877671 | Manifest Medicine Pllc | Clinic/Center | The Healing Art Center, 453 N Beach Rd, Eastsound, WA 98245-8927 | 2019-08-20 |
| 1952962383 | A Well Kneaded Massage | Clinic/Center | 312 E Pioneer, Puyallup, WA 98372-3264 | 2019-06-26 |
| 1174080881 | P4 Medicine Institute | Clinic/Center | 464 12th Ave Fl 400, Seattle, WA 98122-5567 | 2019-02-28 |
| 1740764109 | Occupational Health Centers of Washington, P.s. | Clinic/Center | 3850 S Meridian Ste 3, Puyallup, WA 98373-3701 | 2018-09-21 |
| 1841774809 | Occupational Health Centers of Washington, P.s. | Clinic/Center | 3811 Broadway Ste 3, Everett, WA 98201-5031 | 2018-09-17 |
| 1750865713 | Occupational Health Centers of Washington, P.s. | Clinic/Center | 2602 S 38th St Ste C, Tacoma, WA 98409-7303 | 2018-09-17 |
| 1053895011 | Occupational Health Centers of Washington, P.s. | Clinic/Center | 200 Andover Park E Ste 1, Tukwila, WA 98188-2938 | 2018-09-17 |
| Find all providers with the same taxonomy | ||||
| City | FEDERAL WAY |
| Zip Code | 98003 |
Please comment or provide details below to improve the information on PETER B SHELLEY MD PS.
| 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.