MR. KENNETH WILLIAM SHEIL JR. (NPI# 1497064612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497064612 |
| Entity Type | Individual |
| Full Name | MR. KENNETH WILLIAM SHEIL JR. |
| Credential | PA-C |
| Practice Address |
1304 Fawcett Ave Suite 200 Tacoma WA 98402-1911 |
| Practice Telephone | 2537614200 |
| Practice Fax Number | 2533833553 |
| Mailing Telephone | 2537614200 |
| Mailing Fax Number | 2533833553 |
| Enumeration Date | 2010-10-05 |
| Last Update Date | 2010-10-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA60188682 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1304 FAWCETT AVE SUITE 200 |
| City | TACOMA |
| State | WA |
| Zip Code | 98402-1911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992703474 | James A. Nudelman | Radiology | 1304 Fawcett Ave, Suite 100, Tacoma, WA 98402-1911 | 2005-07-08 |
| 1962808915 | Joanna Le Nguyen | Physician Assistant | 1304 Fawcett Ave, Suite 100, Tacoma, WA 98402-1911 | 2014-11-18 |
| 1487073979 | Bryce Allen Merritt | Radiology | 1304 Fawcett Ave, Tacoma, WA 98402-1911 | 2014-04-10 |
| 1942503495 | Jennifer M. Witte | Nurse Practitioner | 1304 Fawcett Ave, Suite 100, Tacoma, WA 98402-1911 | 2010-12-06 |
| 1477866739 | Patrick Nephi Bacon | Radiology | 1304 Fawcett Ave, Suite 100, Tacoma, WA 98402-1911 | 2010-07-15 |
| 1205153418 | Patrick Thomas Flanagan | Radiology | 1304 Fawcett Ave, Suite 100, Tacoma, WA 98402-1911 | 2010-04-27 |
| 1669796223 | Brett Justin Mollard | Radiology | 1304 Fawcett Ave, Suite 100, Tacoma, WA 98402-1911 | 2010-03-24 |
| 1992036008 | Sarah Ann Farley | Radiology | 1304 Fawcett Ave, Suite 100, Tacoma, WA 98402-1911 | 2010-01-29 |
| 1164755039 | Neeraj Lalwani | Radiology | 1304 Fawcett Ave, Suite 100, Tacoma, WA 98402-1911 | 2009-09-10 |
| 1780817528 | Matthew Gregory Thompson | Physician Assistant | 1304 Fawcett Ave, Suite 100, Tacoma, WA 98402-1911 | 2009-08-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548898638 | Cimberleigh Mclean | Social Worker | 2367 Tacoma Ave S Ofc 211, Tacoma, WA 98402 | 2020-04-01 |
| 1831735802 | Nickolas Justin Wise | Case Manager/Care Coordinator | 1159 Market St, Tacoma, WA 98402 | 2019-11-25 |
| 1841835436 | Michael Roy Bolden | Counselor | 1205 Tacoma Ave S., Suite 1205, Tacoma, WA 98402 | 2019-11-07 |
| 1073024980 | Megan Elizabeth Charron Mourfield | Denturist | 725 St Helens Ave S, Tacoma, WA 98402 | 2017-10-18 |
| 1104367937 | Janelle Santiago | Counselor | Mcdonald Smith Building 110, Uw Autism Center Tacoma, Tacoma, WA 98402 | 2017-03-13 |
| 1891167862 | Tanya Larson Therapy | Community/Behavioral Health | 1102 A. St., Suite 109, (suite 109), Tacoma, WA 98402 | 2015-10-29 |
| 1609242148 | Ashley Lorraine Dahlgren | Peer Specialist | 702 S 14th St., Tacoma, WA 98402 | 2015-08-19 |
| 1821416470 | Nicole Villarreal Mccormick | Acupuncturist | 711 A Ct #100, Tacoma, WA 98402 | 2014-04-01 |
| 1184055824 | Robyn Marie Callahan | Social Worker | 1102 A Street, Suite 202 B, Tacoma, WA 98402 | 2013-12-05 |
| 1679909410 | Kristin Sweet Fischer | Counselor | 708 Market St Unit 411, Tacoma, WA 98402 | 2013-09-25 |
| Find all providers in zip 98402 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| 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 |
| 1013973205 | Sheldon Burdell Watson | Physician Assistant | Madigan Army Medical Center/okubo Clinic, 9040 Jackson Ave, Tacoma, WA 98431-1730 | 2006-04-25 |
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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.