Trevor Lee Reeves (NPI# 1487179404, PAC ID# 4789924952) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1487179404 |
| PAC ID by PECOS | 4789924952 |
| Professional Enrollment ID | I20190326001294 |
| Full Name | Trevor Lee Reeves |
| Organization Legal Name | TRA-MINW, PS |
| Address |
3402 S 18th St Tacoma WA 98405-1903 |
| Phone Number | 2537614200 |
| Gender | M |
| Graduation Year | 2018 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 2163316167 |
| Number of Group Practice Members | 102 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 500108 | ST JOSEPH MEDICAL CENTER |
| 500129 | TACOMA GENERAL ALLENMORE HOSPITAL |
| 500151 | ST ANTHONY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3402 S 18th St, Tacoma, WA 98405-1903 | 2537614200 | TRA-MINW, PS |
| Organization Legal Name | TRA-MINW, PS |
| Physicians | 106 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andre Bautista | Diagnostic Radiology | Tra-minw, Ps | 1455 Battersby Ave, Enumclaw, WA 98022-3634 |
| Evan Michael Leitz | Diagnostic Radiology | Tra-minw, Ps | 1304 Fawcett Ave, Suite 100, Tacoma, WA 98402-1900 |
| Jana Lynn Fahmy | Diagnostic Radiology | Tra-minw, Ps | 2502 S Union Ave, Tacoma, WA 98405-1328 |
| Scott Randall Henneman | Diagnostic Radiology | Tra-minw, Ps | 34515 9th Ave S, Federal Way, WA 98003-6761 |
| Michael Jon Flamoe | Physician Assistant | Tra-minw, Ps | 34515 9th Ave S, Federal Way, WA 98003-6761 |
| Joshua Scott Meyer | Physician Assistant | Tra-minw, Ps | 407 14th Ave Se, Puyallup, WA 98372-3770 |
| David Harold Rice | Diagnostic Radiology | Tra-minw, Ps | 34515 9th Ave S, Federal Way, WA 98003-6761 |
| Chuck D Martin | Diagnostic Radiology | Tra-minw, Ps | 34515 9th Ave S, Federal Way, WA 98003-6761 |
| Rachael Marie Edwards | Diagnostic Radiology | Tra-minw, Ps | 1304 Fawcett Ave, Suite 100, Tacoma, WA 98402-1900 |
| John Paul Kim | Diagnostic Radiology | Tra-minw, Ps | 1304 Fawcett Ave, Suite 100, Tacoma, WA 98402-1900 |
| Street Address |
3402 S 18TH ST |
| City | TACOMA |
| State | WA |
| Zip | 98405-1903 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew Gregory Thompson | Physician Assistant | Tra-minw, Ps | 3402 S 18th St, Tacoma, WA 98405-1903 |
| Stephen Wesley Baker | Physician Assistant | Tra-minw, Ps | 3402 S 18th St, Tacoma, WA 98405-1903 |
| Xiaoming Chen | Diagnostic Radiology | Tra-minw, Ps | 3402 S 18th St, Tacoma, WA 98405-1903 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Julie Ann Cunningham | Nurse Practitioner | Stephen B Hillis, M.d. Ps Inc | 1901 S Cedar, Suite 108, Tacoma, WA 98405 |
| Michael W Chandler | Anesthesiology | Tacoma Anesthesia Associates Inc Ps | 3111 S L St, Tacoma, WA 98405 |
| Stephen B Hillis | Family Medicine | Stephen B Hillis, M.d. Ps Inc | 1901 S Cedar, Suite 108, Tacoma, WA 98405 |
| Klaus D Mergener | Gastroenterology | Washington Gastroenterology Pllc | 315 Mlk Jr Way, Tacoma, WA 98405 |
| Gerald W Anderson | General Surgery | 315 Mlk Jr Way, Tacoma, WA 98405 | |
| John Daniel Wanwig | Psychiatry | 4050 S 19th St, Suite 200, Tacoma, WA 98405-0001 | |
| Alice Phuong Nguyen | Optometry | 1965 S Union Ave, Tacoma, WA 98405-1017 | |
| Neil Partain | Internal Medicine | South Sound Inpatient Physicians Pllc | 1901 S Union Ave, Tacoma, WA 98405-1017 |
| Richard M Bradford | Internal Medicine | South Sound Inpatient Physicians Pllc | 1901 S Union Ave, Tacoma, WA 98405-1017 |
| Ugochukwu Uwaoma | Internal Medicine | South Sound Inpatient Physicians Pllc | 1901 S Union Ave, Tacoma, WA 98405-1017 |
| Find all physicians in zip 98405 | |||
| City | TACOMA |
| Zip Code | 98405 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | TACOMA + PHYSICIAN ASSISTANT |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.