Active NPI
Steneker Family Medicine
- Family Medicine Physician
- Normandy Park, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- STENEKER FAMILY MEDICINE
- Practice address
- 19987 1St Ave S Ste 102
Normandy Park, WA 98148-2400 - Phone
- (206) 944-1500
- Fax
- (425) 412-3281
- NPI assigned
- Jun 22, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sjardo Steneker, MD
- Title
- Owner
- Phone
- (206) 819-4664
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
19987 1St Ave S Ste 102
Normandy Park, WA 98148-2400
Mailing address
20004 87TH Ave SW
Vashon, WA 98070-6275
Phone (206) 819-4664
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 50D2258268 | Steneker Family Medicine | Certificate of waiver | Apr 4, 2028 |
National Provider Directory
National Provider DirectoryLocations
630 SW 153rd St
Ste 106
Burien, WA 98166
Phone (206) 878-8600
19987 1st Ave S
Ste 102
Normandy Park, WA 98148
Phone (206) 824-7200
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Burien, WA
- NPI 1346444296
-
- Nurse Practitioner
- Federal Way, WA
- NPI 1902977473
-
- Internal Medicine Physician
- Seattle, WA
- NPI 1083927008
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655856000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1655856000000",
"number": "1124759899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20004 87TH AVE SW",
"city": "VASHON",
"state": "WA",
"postal_code": "980706275",
"telephone_number": "206-819-4664",
"fax_number": "425-412-3281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19987 1ST AVE S STE 102",
"city": "NORMANDY PARK",
"state": "WA",
"postal_code": "981482400",
"telephone_number": "206-944-1500",
"fax_number": "425-412-3281"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STENEKER FAMILY MEDICINE",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-22",
"last_updated": "2022-06-22",
"certification_date": "2022-06-22",
"status": "A",
"authorized_official_last_name": "STENEKER",
"authorized_official_first_name": "SJARDO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "206-819-4664",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Normandy Park, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.