DR. SHAD DEERING (NPI# 1407836018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407836018 |
| Entity Type | Individual |
| Full Name | DR. SHAD DEERING |
| Credential | M.D. |
| Practice Address |
9040 Fitzsimmons Dr Department of Ob/gyn Tacoma WA 98431-1000 |
| Mailing Address |
2274 Palisade Blvd Dupont WA 98327-9786 |
| Practice Telephone | 2539681269 |
| Mailing Telephone | 2539681269 |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
0101058284 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
9040 FITZSIMMONS DR DEPARTMENT OF OB/GYN |
| City | TACOMA |
| State | WA |
| Zip Code | 98431-1000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669464483 | Michele Stone | Nurse Anesthetist, Certified Registered | 9040 Fitzsimmons Dr, Mced, Tacoma, WA 98431-1000 | 2005-08-18 |
| 1689175143 | Mitchell Anthony Lion | Student in an Organized Health Care Education/Training Program | 9040 Fitzsimmons Dr, Tacoma, WA 98431-0001 | 2018-02-21 |
| 1295054906 | Gregory Robert Pittman | Emergency Medicine | 9040 Fitzsimmons Dr, Tacoma, WA 98431-1000 | 2010-05-19 |
| 1275852139 | Rebecca Megan Ortolano | Student in an Organized Health Care Education/Training Program | 9040 Fitzsimmons Dr, Tacoma, WA 98431-1000 | 2010-05-18 |
| 1104144906 | Victor Young Yu | General Practice | 9040 Fitzsimmons Dr, Tacoma, WA 98431-1000 | 2010-05-04 |
| 1841517604 | Ian D Funnell | General Practice | 9040 Fitzsimmons Dr, Tacoma, WA 98431-1000 | 2010-05-03 |
| 1609192095 | Michael Lanton | Student in an Organized Health Care Education/Training Program | 9040 Fitzsimmons Dr, Tacoma, WA 98431-1000 | 2010-04-11 |
| 1538484399 | Paul Mitchell Houghtaling | General Practice | 9040 Fitzsimmons Dr, Tacoma, WA 98431-1000 | 2010-04-05 |
| 1861717217 | Efrain Rivera | Student in an Organized Health Care Education/Training Program | 9040 Fitzsimmons Dr, Tacoma, WA 98431-1000 | 2010-03-29 |
| 1518280460 | Emilie Belle Duclos Fitzpatrick | General Practice | 9040 Fitzsimmons Dr, Tacoma, WA 98431-1000 | 2010-03-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497212260 | Catrina Renee Grugin | Registered Nurse | Madigan Army Medical Center, Attn Mchj-clq-c, 9040 Jackson Ave, Tacoma, WA 98431 | 2019-02-27 |
| 1801307681 | Bianca Gomez | Dental Assistant | Bldg 9900 Lincoln Street, Jblm, WA 98431 | 2017-10-19 |
| 1184133225 | Darren Paris | Registered Nurse | Madigan Army Medical Center 9040 Jackson Ave., Attn: Mchj-clq-c, Tacoma, WA 98431 | 2017-09-20 |
| 1922538206 | Sarah Frerichs | Dentist | Madigan Annex, Second Floor, Bldg. 9900, Apo, AA 98431 | 2017-06-19 |
| 1740736495 | Misty Hill | Dental Assistant | 9119 Mill Park Ave, Tacoma, WA 98431 | 2016-08-31 |
| 1336695535 | Jacqueline D Massouda | Dentist | Jblm Dentac, 9900 Lincoln Sreet, 2nd Floor, Apo, AA 98431 | 2016-08-28 |
| 1609239375 | Gregg V Palmer | Licensed Practical Nurse | 17th and C Street, Bldg 11582, Tacoma, WA 98431 | 2016-03-31 |
| 1114323904 | Deanna Sheets | Nurse Practitioner | 911 Mil Park Ave, Tacoma, WA 98431 | 2014-11-06 |
| 1679905434 | Austin William Schaar | Dentist | Building 9900, 2nd Floor, Tacoma, WA 98431 | 2013-08-05 |
| 1518209758 | Maurice Ibrahim Khayat | Internal Medicine | 9040 Jackson Ave Mche-qd (creds), Tacoma, WA 98431 | 2013-03-26 |
| Find all providers in zip 98431 | ||||
| Taxonomy Code | 207VM0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Maternal & Fetal Medicine |
| An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770563397 | Peter G Napolitano | Obstetrics & Gynecology | Bldg 9040 Fitzsimmons Drive, Mchj-og Attn: Ltc Napolitano, Dept Obgyn Madigan Amc, Tacoma, WA 98431-0001 | 2006-01-19 |
| 1184808651 | Eryn J Hart Dutta | Obstetrics & Gynecology | 1608 S J St Fl 1, Tacoma, WA 98405 | 2007-12-20 |
| 1376742346 | Jason Andrew Pates | Obstetrics & Gynecology | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2007-07-11 |
| 1770700528 | Kerry Maureen Mcmahon | Obstetrics & Gynecology | 1708 Yakima Ave, Ste 202, Tacoma, WA 98405-5307 | 2007-04-20 |
| 1013947142 | Angela Lorraine Gray | Obstetrics & Gynecology | 1608 S J St Fl 1, Tacoma, WA 98405-4930 | 2006-07-04 |
| 1629016936 | Franciscan Medical Group | Obstetrics & Gynecology | 1708 Yakima Ave, Ste 202, Tacoma, WA 98405-5307 | 2006-06-02 |
| 1831140615 | Edward Eliot Dashow | Obstetrics & Gynecology | 314 Martin Luther King Jr Way, 402, Tacoma, WA 98405-4250 | 2006-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538218441 | Bettina W Paek | Obstetrics & Gynecology | 1959 Ne Pacific St # 356460, Seattle, WA 98195-6460 | 2007-01-09 |
| 1073889234 | Jennifer Leigh Katz Eriksen | Obstetrics & Gynecology | 1959 Ne Pacific St, Seattle, WA 98195-6110 | 2012-03-31 |
| 1457677627 | Timothy Mitchell | Obstetrics & Gynecology | 2525 Ne 139th St Ste 270, Vancouver, WA 98686-2719 | 2010-04-13 |
| 1740418029 | Catherine Albright | Obstetrics & Gynecology | 1959 Ne Pacific St, Seattle, WA 98195-2401 | 2009-06-25 |
| 1649432931 | Samantha Weed | Obstetrics & Gynecology | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2008-06-27 |
| 1578735882 | Tri Cities Maternal Fetal Medicine Pllc | Obstetrics & Gynecology | 969 Stevens Dr, Suite 3a, Richland, WA 99352-3525 | 2008-03-26 |
| 1659549236 | Eve M Bernstein | Obstetrics & Gynecology | 900 Pacific Ave, Suite 501, Everett, WA 98201-4168 | 2008-02-15 |
| 1740464379 | Sarah Anne Waller | Obstetrics & Gynecology | 1229 Madison St, Suite 710, Seattle, WA 98104-3586 | 2007-12-18 |
| 1811197767 | Suchitra Chandrasekaran | Obstetrics & Gynecology | 1959 Ne Pacific St, Seattle, WA 98195-1250 | 2007-07-19 |
| 1548464183 | Jeroen Peter Vanderhoeven | Obstetrics & Gynecology | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2007-06-14 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.