Active NPI
James A Sheahan, MD
- Family Medicine Physician
- Monroe, WA
National Provider Identifier
1699866541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD00017720
- Practice address
- 14692 179TH Ave SE
Suite 100
Monroe, WA 98272-1198 - Phone
- (360) 794-7994
- Fax
- (360) 805-4755
- NPI assigned
- Sep 27, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD00017720 | WA | Primary |
Addresses
Primary practice location
14692 179TH Ave SE
Suite 100
Monroe, WA 98272-1198
Mailing address
PO Box 3360
Portland, OR 97208-3360
Phone (866) 366-2983
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8602187 | Medicaid | WA |
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
- Doctor of Medicine
Interoperability endpoints
- jsheahan122005@wm.providencedirect.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360800000000",
"number": "1699866541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3360",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972083360",
"telephone_number": "866-366-2983",
"fax_number": "425-317-0291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14692 179TH AVE SE",
"address_2": "SUITE 100",
"city": "MONROE",
"state": "WA",
"postal_code": "982721198",
"telephone_number": "360-794-7994",
"fax_number": "360-805-4755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEAHAN",
"first_name": "JAMES",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2013-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD00017720",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8602187",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Monroe, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.