Kevin P. Schoenfelder, MD PS

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

License

MD00018830 Issued in WA

Legal business name

KEVIN P. SCHOENFELDER, MD PS

Practice address

1515 Martin Luther King Jr Way
Tacoma, WA 98405-3933

Phone

(253) 272-0186

Fax

(253) 272-2642

NPI assigned

Jan 10, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Nancy P Mull

Title

Office Manager

Phone

(253) 272-0186

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193788800000",
    "number": "1811047236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 MARTIN LUTHER KING JR WAY",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984053933",
            "telephone_number": "253-272-0186",
            "fax_number": "253-272-2642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 MARTIN LUTHER KING JR WAY",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984053933",
            "telephone_number": "253-272-0186",
            "fax_number": "253-272-2642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN P. SCHOENFELDER, MD PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-10-31",
        "status": "A",
        "authorized_official_last_name": "MULL",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "253-272-0186",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "WA",
            "license": "MD00018830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMP",
            "identifier": "88874",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "SC7664",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1005842",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samanth Ketha, D.O.
• Jennifer Cobelli Kett, MD
• Benjamin James Kevan, DPT
• Kevin K. Gandhi, M.D., PLLC
• Kevin P. Schoenfelder, MD PS
• Kevin Song, DDS, PS
• Kevin Xu D.D.S., M.S.,P.S., Inc.
• Key Speech and Language LLC
• Lauren Keyser, ARNP
• Mollie Khachadoorian, RN

• Orthopaedic Surgery of the Spine Physician in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Orthopaedic Surgery of the Spine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; 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.