DR. WILLIAM CHARLES KEPPLER III (NPI# 1659432102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659432102 |
Entity Type | Individual |
Full Name | DR. WILLIAM CHARLES KEPPLER III |
Credential | M.D. |
Practice Address |
Madigan Army Medical Ctr 9040 Jackson Avenue Tacoma WA 98431-0001 |
Practice Telephone | 2539686057 |
Mailing Telephone | 2539686057 |
Enumeration Date | 2006-12-12 |
Last Update Date | 2019-03-12 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084F0202X |
Psychiatry & Neurology Specialization: Forensic Psychiatry |
60202793 | WA | Allopathic & Osteopathic Physicians |
N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
60202793 | WA | Allopathic & Osteopathic Physicians |
Street Address |
MADIGAN ARMY MEDICAL CTR 9040 JACKSON AVENUE |
City | TACOMA |
State | WA |
Zip Code | 98431-0001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689657801 | Jeffrey Scott Kunz | Internal Medicine | Madigan Army Medical Ctr 9040 Jackson Avenue, Tacoma, WA 98431-0001 | 2005-11-22 |
1992018907 | Karen T. Lesniak | Psychologist | Madigan Army Medical Ctr 9040 Jackson Avenue, Tacoma, WA 98431-1100 | 2010-07-19 |
1659417434 | Marcus C Ponce De Leon | Psychiatry & Neurology | Madigan Army Medical Ctr 9040 Jackson Avenue, Tacoma, WA 98431-1100 | 2007-01-29 |
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 Code | 2084F0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Forensic Psychiatry |
Forensic Psychiatry is a subspecialty with psychiatric focus on interrelationships with civil, criminal and administrative law, evaluation and specialized treatment of individuals involved with the legal system, incarcerated in jails, prisons, and forensic psychiatry hospitals. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508025792 | Liban Abdi Rodol | Psychiatry & Neurology | 9601 Steilacoom Blvd Sw, Tacoma, WA 98498-7212 | 2008-06-03 |
1326109455 | Christopher T Perry | Psychiatry & Neurology | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2006-12-13 |
1447276217 | Matthew A Cody | Psychiatry & Neurology | 9040 Jackson Ave Madigan Army Medical Center, Tacoma, WA 98431-5001 | 2006-07-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114172566 | Keith Wesley Scott | Psychiatry & Neurology | 1349 Altoona Pillar Rock Rd, Rosburg, WA 98643-9614 | 2008-11-27 |
1518089986 | Brian L. Grant | Psychiatry & Neurology | 1200 6th Ave, Suite 1800, Seattle, WA 98101-3123 | 2007-04-04 |
1497816649 | Vernon M Neppe | Psychiatry & Neurology | 6300 Ninth Avenue Ne, Suite 353, Seattle, WA 98115-8517 | 2006-12-12 |
1336209634 | Pacific Neuropsychiatric Institute | Psychiatry & Neurology | 6300 9th Avenue Ne, Suite 353, Seattle, WA 98115-8516 | 2006-12-10 |
1649414301 | Mark Koenen | Psychiatry & Neurology | 601 Union St, Suite 1704, Seattle, WA 98101-2341 | 2009-04-26 |
1811158108 | Chelsea Shih | Psychiatry & Neurology | 601 S Carr Rd Ste 100, Renton, WA 98055-5802 | 2008-06-19 |
1598964017 | Jennifer Piel | Psychiatry & Neurology | 1660 S Columbian Way, Ms-116-mhc, Seattle, WA 98108-1532 | 2007-07-13 |
1184761983 | Henry S Levine | Psychiatry & Neurology | 1112 11th Street, 301, Bellingham, WA 98225 | 2007-01-31 |
1205994597 | Douglas P Robinson | Psychiatry & Neurology | 2910 E Madison St, Suite 104, Seattle, WA 98112-4214 | 2006-12-05 |
1073680872 | Kathryn Colby Hall | Psychiatry & Neurology | 500 5th Ave, Jail Health Services 6w, Seattle, WA 98104-2332 | 2006-11-29 |
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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.