Active NPI
Shane Turner, PA-C
- Surgical Physician Assistant
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA 60124157
- Practice address
- 1100 9TH Ave
Seattle, WA 98101-2756 - Phone
- (206) 583-2281
- Fax
- (206) 515-5846
- NPI assigned
- Dec 1, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA 60124157 | WA | |
| Surgical Physician Assistant | 363AS0400X | PA 60124157 | WA | Primary |
Addresses
Primary practice location
1100 9TH Ave
Seattle, WA 98101-2756
Mailing address
1100 9TH Ave
PO Box 900
Seattle, WA 98101-2756
Phone (206) 583-2281
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8564841 | Medicaid | WA | |
| 0258896 | Other | WA | L AND I |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1901 S Union Ave
Tacoma, WA 98405-1702
311 S L St
Tacoma, WA 98405-3720
3124 S 19TH St
Tacoma, WA 98405-2433
4545 Point Fosdick Dr
Gig Harbor, WA 98335-1700
Phone (253) 530-8011
4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706
Hospital & facility affiliations
- Multicare Good Samaritan Home Health
- Tacoma General Allenmore Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA 60124157 | WA | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| United Wound Healing Accountable Care Consultants PLLC | Past | Accepting new patients | |
| Multicare Health System | Past | Accepting new patients |
Locations
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
222 State Ave N
Kent, WA 98030
Phone (253) 372-7680
317 Martin Luther King Jr Way
Tacoma, WA 98405
Phone (253) 403-1400
315 S K St
Tacoma, WA 98405
Phone (253) 403-1291
3124 S 19th St
Ste 340
Tacoma, WA 98405
Phone (253) 459-7000
316 S K St
Tacoma, WA 98405
Phone (253) 403-1375
311 S L St
Tacoma, WA 98405
Phone (253) 403-1444
Interoperability endpoints
- sturnerpac59225@direct.multicare.org
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
- Cardiovascular Disease Physician
- Everett, WA
- NPI 1164185765
-
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
-
- Nurse Practitioner
- Tacoma, WA
- NPI 1407808413
-
- Surgery Physician
- Puyallup, WA
- NPI 1881337632
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Tacoma, WA
- NPI 1275647133
-
- General Acute Care Hospital
- Tacoma, WA
- NPI 1366556227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269561600000",
"number": "1649508771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 9TH AVE",
"address_2": "PO BOX 900",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981012756",
"telephone_number": "206-583-2281",
"fax_number": "206-515-5846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 9TH AVE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981012756",
"telephone_number": "206-583-2281",
"fax_number": "206-515-5846"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TURNER",
"first_name": "SHANE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-12-01",
"last_updated": "2010-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "WA",
"license": "PA 60124157",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "WA",
"license": "PA 60124157",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8564841",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L AND I",
"identifier": "0258896",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.