Stephen Dana Fewell, P.A.-C.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA10002988 Issued in WA

Practice address

4703 Pacific Hwy E
Tacoma, WA 98424-2620

Phone

(253) 922-9570

Fax

(253) 922-9587

NPI assigned

Feb 1, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350518400000",
    "number": "1780722892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4703 PACIFIC HWY E",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98424",
            "telephone_number": "253-922-9570",
            "fax_number": "253-922-9587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4703 PACIFIC HWY E",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984242620",
            "telephone_number": "253-922-9570",
            "fax_number": "253-922-9587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEWELL",
        "first_name": "STEPHEN",
        "middle_name": "DANA",
        "name_prefix": "Mr.",
        "credential": "P.A.-C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2012-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA10002988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I PIN",
            "identifier": "127506",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nikkea Marie Ferrin, RN, BSN
• Stephen Jeffrey Ferris
• Mark David Feshchenko
• Brandon Fetterolf, D.O.
• Irina V. Fewell
• Cheryl Ann Fewins, RDH
• Sara E Fey-Hinckley, LMFT
• Utkarsh K Fichadia, M.D
• Roger N Fick
• Ania Fida, MD

• Physician Assistant in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; 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.