Active NPI
Shaun C Knox, D.O., PHARM.D.
- Internal Medicine Physician
- Richland, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- OP61005122
- Practice address
- 888 Swift Blvd
Richland, WA 99352-3514 - Phone
- (509) 942-2648
- Fax
- (509) 942-2812
- NPI assigned
- Mar 1, 2007
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH00060832 | WA | |
| Internal Medicine Physician | 207R00000X | PG168371 | OR | |
| Sports Medicine (Internal Medicine) Physician | 207RS0010X | 2017-01367 | NC | |
| Internal Medicine Physician | 207R00000X | OP61005122 | WA | Primary |
Addresses
Primary practice location
888 Swift Blvd
Richland, WA 99352-3514
Mailing address
550 Gage Blvd Ste 101
Richland, WA 99352-9532
Phone (509) 942-3627
Other practice location 1
2800 N Vancouver Ave
suite 230
Portland, OR 97227-1630
Phone (503) 413-4340
Other practice location 2
129 T.T. Lanier
Lillington, NC 27546-1630
Phone (910) 893-1562
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
888 Swift Blvd
Richland, WA 99352-3514
Phone (509) 946-4611
Hospital & facility affiliations
- Kadlec Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH00060832 | WA | MD | Pharmacist |
| PG168371 | OR | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kadlec Regional Medical Center | Internal Medicine | Current | Accepting new patients |
| Kadlec Regional Medical Center | Current | Accepting new patients | |
| Kadlec Regional Medical Center | Current | Accepting new patients |
Locations
888 Swift Blvd
Richland, WA 99352
Phone (509) 942-2115
1135 Jadwin Ave
Richland, WA 99352
Phone (509) 942-3300
550 Gage Blvd
Ste 101
Richland, WA 99352
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Richland, WA
- NPI 1972507580
Internal Medicine
-
- Orthopaedic Surgery Physician
- Richland, WA
- NPI 1194263608
-
- Rehabilitation Hospital Unit
- Richland, WA
- NPI 1790319580
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Richland, WA
- NPI 1972507580
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668988800000",
"number": "1932237286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 GAGE BLVD STE 101",
"city": "RICHLAND",
"state": "WA",
"postal_code": "993529532",
"telephone_number": "509-942-3627",
"fax_number": "509-627-2983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "888 SWIFT BLVD",
"city": "RICHLAND",
"state": "WA",
"postal_code": "993523514",
"telephone_number": "509-942-2648",
"fax_number": "509-942-2812"
}
],
"practiceLocations": [
{
"address_1": "2800 N Vancouver Ave",
"address_2": "suite 230",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972271630",
"country_code": "US",
"telephone_number": "503-413-4340",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "129 T.T. Lanier",
"address_purpose": "LOCATION",
"city": "Lillington",
"state": "NC",
"postal_code": "275461630",
"country_code": "US",
"telephone_number": "910-893-1562",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KNOX",
"first_name": "SHAUN",
"middle_name": "C",
"credential": "D.O., PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-01",
"last_updated": "2022-11-21",
"certification_date": "2022-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00060832",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OR",
"license": "PG168371",
"primary": false
},
{
"code": "207RS0010X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sports Medicine",
"state": "NC",
"license": "2017-01367",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "OP61005122",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; 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.