Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1871186890 Individual Practitioner Male Practitioner

Dr. Shane Blunk , MD

Pediatrics • Tacoma, WA

Professional Overview & Biography Verified Profile Summary

Dr. Shane Blunk, MD is a registered healthcare professional specializing in Pediatrics in Tacoma, WA. Practice services are available at 9040 JACKSON AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9040 Jackson Ave

Tacoma, WA 984310001

Telephone 2539683066
Associated Practice Facility / Clinic
🏢 Defense Finance & Actg Serv Facility NPI 1992784144

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Tacoma, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.0 Yrs
State Avg: 18.8 Yrs
Regional Practice Density
153 Specialists

Practicing in Tacoma, WA (1802 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-08-13
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License NE 34951

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

General Practice

NUCC Taxonomy Code: 208D00000X

State License NE 34951

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Alexander Bowers , DO

Pediatrics - Pediatric Cardiology

NPI 1003357427

Doctor of Osteopathic Medicine (D.O.)

NPI 1013970359

Doctor of Medicine (M.D.)

Dr. Kirk Liesemer , MD

Pediatrics - Pediatric Cardiology

NPI 1023229051

Doctor of Medicine (M.D.)

Lynzee Thoma

General Practice

NPI 1043918881
Coreen Easter , MSW, ACSW, LICSW

Social Worker - Clinical

NPI 1063717999

Master of Social Work, Academy of Certified Social Workers, Licensed Independent Clinical Social Worker

Dr. Crystal Beard , MD

Military Health Care Provider

NPI 1104630789

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 13, 2024

General Practice (License #34951 in NE)

NPI Profile Active February 20, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location February 20, 2021

Registered at 9040 JACKSON AVE, TACOMA, WA 984310001 (Tel: 2539683066)

📍
Updated Business Mailing Address February 20, 2021

Registered at 9040 JACKSON AVE, TACOMA, WA 984310001 (Tel: 2539683066)

👤
Provider Name / Credentials Updated February 20, 2021

Recorded as SHANE BLUNK, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 20, 2021

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration February 20, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Shane Blunk. Be the first to share your experience!

Sign in to leave a review for Dr. Shane Blunk

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1871186890
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 20, 2021
Last Update: August 13, 2024
Sole Proprietor: No

Mailing Address

9040 Jackson Ave

Tacoma, WA 984310001

Phone: 2539683066

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.