Kenneth CJ Scherbarth, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OP00000899 Issued in WA

Practice address

1802 S Union Ave
Ste 200
Tacoma, WA 98405-1947

Phone

(253) 752-6965

Fax

(253) 759-6056

NPI assigned

Sep 30, 2005

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 3

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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.

• Northwest Family & Spinal Clinic Inc PS

  • Family Medicine Physician
  • Tacoma, WA
  • NPI 1548357098
  NPD Authorized official
• David L. Lukens,D.O.,P.S.

  • Family Medicine Physician
  • Tacoma, WA
  • NPI 1265765309
  NPD (past)

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192579200000",
    "number": "1942297353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 S UNION AVE",
            "address_2": "STE 200",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051947",
            "telephone_number": "253-752-6965",
            "fax_number": "253-759-6056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 S UNION AVE",
            "address_2": "STE 200",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051947",
            "telephone_number": "253-752-6965",
            "fax_number": "253-759-6056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHERBARTH",
        "first_name": "KENNETH",
        "middle_name": "CJ",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2007-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "OP00000899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BCBS",
            "identifier": "SC4440",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "17661",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1757202",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alana M Schaser, LMP
• Christine Schedler
• Kathleen H Scheibner IV
• Valaree Schelhammer, MSW
• Megan Schemp, M.A
• Dinah C Schermerhorn, M.ED.
• Susan Jeanne Scheunemann, RD
• Charles James Scheurich, M.D.
• Michael James Schiefelbein, PA-C
• Mark W. Schierenbeck, CRNA

• Family Medicine Physician in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.