Stephen R Shaul MD Inc PS

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

MD00011637 Issued in WA

Legal business name

STEPHEN R SHAUL MD INC PS

Practice address

4601 Avalanche Ave
Yakima, WA 98908-2830

Phone

(509) 966-0292

NPI assigned

Mar 8, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Stephen R Shaul, M.D.

Title

President

Phone

(509) 966-0292

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1268006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359590400000",
    "number": "1114240918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 AVALANCHE AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989082830",
            "telephone_number": "509-966-0292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 AVALANCHE AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989082830",
            "telephone_number": "509-966-0292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN R SHAUL MD INC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-08",
        "last_updated": "2013-01-31",
        "status": "A",
        "authorized_official_last_name": "SHAUL",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-966-0292",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "WA",
            "license": "MD00011637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheyenne Stefano
• Jonathan Gabe Steinhauser
• Danielle Stensrud
• David C Stepanek, M.D.
• Anthony R Stephas, PA
• Trevor Stephen
• Sarah Ann Stephenson, PHARMD
• Sarah Elizabeth Stephenson, LMT
• Ellen Q Stepniewski, ARNP
• Amelia Grace Sterenberg, DOT

• Medical Specialty Clinic/Center in Yakima, WA
• Providers in Yakima, WA by specialty
• Medical Specialty Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.