Individual provider Active NPI

John C Schira, PA C

  • Physician Assistant
  • Olympia, WA
National Provider Identifier
1164464053
Registry record updated Jan 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA10001917 Issued in WA
Practice address
6700 Martin Way E
Suite 117
Olympia, WA 98516-6502
Phone
(360) 413-6910
Fax
(360) 413-9026
NPI assigned
Jun 12, 2006
Last updated
Jan 10, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA10001917 WA Primary

Addresses

Primary practice location

6700 Martin Way E
Suite 117
Olympia, WA 98516-6502

Mailing address

6700 Martin Way E
Suite 117
Olympia, WA 98516-6502
Phone (360) 413-6910

Other identifiers 3

IdentifierTypeStateIssuer
SC0968OtherWABSWA
0137179OtherWALIWA
8348971MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420848000000",
    "number": "1164464053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 MARTIN WAY E",
            "address_2": "SUITE 117",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985166502",
            "telephone_number": "360-413-6910",
            "fax_number": "360-413-9026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 MARTIN WAY E",
            "address_2": "SUITE 117",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985166502",
            "telephone_number": "360-413-6910",
            "fax_number": "360-413-9026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHIRA",
        "first_name": "JOHN",
        "middle_name": "C",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2015-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA10001917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSWA",
            "identifier": "SC0968",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIWA",
            "identifier": "0137179",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8348971",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2015; 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.