Individual provider Active NPI

Stephen Wheeler, PA-C

  • Medical Physician Assistant
  • Auburn, WA
National Provider Identifier
1699253047
Registry record updated Feb 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA61002337 Issued in WA
Practice address
122 3Rd St NE
Auburn, WA 98002-4013
Phone
(253) 833-7750
Fax
(253) 833-7469
NPI assigned
Jul 29, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA61002337 WA Primary

Addresses

Primary practice location

122 3Rd St NE
Auburn, WA 98002-4013

Mailing address

122 3Rd St NE
Auburn, WA 98002-4098
Phone (253) 833-7750

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191203001503 WA Practitioner - Physician Assistant 2365875424 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Washington School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sound Pain AllianceGroup PAC ID 0941565162, 43 clinicians

Practice addresses (Care Compare)

11306 Bridgeport Way SW
Lakewood, WA 98499-3037
Phone (253) 983-9390

17615 SE 272ND St
Suite 109
Covington, WA 98042-4957
Phone (253) 983-9390

21509 State Route 410 E
Bonney Lake, WA 98391-4104

4029 Northwest Ave
Bellingham, WA 98226-9077

7200 S 180TH St
Suite 102
Tukwila, WA 98188-2988
Phone (253) 983-9390

Hospital & facility affiliations

  • Valley Medical Center Hospital, Renton, WA, CCN 500088
  • Multicare Covington Medical Center Hospital, Covington, WA, CCN 500154

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA61002337WAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cascade Surgery Associates, PLLC CurrentSince Oct 14, 2019 Accepting new patients
Sound Pain Alliance Current Accepting new patients
Sound Pain Alliance CurrentSince Jul 8, 2024 Accepting new patients
Sound Pain Alliance CurrentSince Jul 8, 2024 Accepting new patients
Cascade Surgery Associates, PLLC CurrentSince Oct 14, 2019 Accepting new patients
Sound Pain Alliance Past Accepting new patients
Sound Pain Alliance PastSince Dec 13, 2022 Accepting new patients

Locations

122 3rd St NE
Auburn, WA 98002
Phone (253) 833-7750

4029 Northwest Ave
Ste 301
Bellingham, WA 98226
Phone (360) 526-8685

21509 State Route 410 E
Ste 1B
Bonney Lake, WA 98391

17615 SE 272nd St
Ste 109
Covington, WA 98042

120 14th Ave SE
Ste D
Puyallup, WA 98372
Phone (253) 200-2144

7200 S 180th St
Ste 102
Tukwila, WA 98188

Organizations & group practices 7

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1532822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581638400000",
    "number": "1699253047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 3RD ST NE",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980024098",
            "telephone_number": "253-833-7750",
            "fax_number": "253-887-9804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 3RD ST NE",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980024013",
            "telephone_number": "253-833-7750",
            "fax_number": "253-833-7469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "STEPHEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-29",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA61002337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, WA

Sources for this page

Verify at the official NPI Registry.