Active NPI
Jason Michael Durbin, D.O.
- Urology Physician
- Silverdale, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- OP60272190
- Practice address
- 9398 Ridgetop Blvd NW
Silverdale, WA 98383-8505 - Phone
- (360) 782-3222
- Fax
- (360) 782-3244
- NPI assigned
- Jan 24, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 2003018910 | MO | |
| Urology Physician | 208800000X | OP60272190 | WA | Primary |
Addresses
Primary practice location
9398 Ridgetop Blvd NW
Silverdale, WA 98383-8505
Mailing address
9621 Ridgetop Blvd NW
Silverdale, WA 98383-8502
Phone (360) 782-3600
Other practice location 1
19245 7th Ave NE
Poulsbo, WA 98370-6551
Phone (360) 782-3500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2017817 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, VA
- 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
- Urology
- Education
- Midwestern University, Chicago College of Osteopathic Med, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9398 Ridgetop Blvd NW
Silverdale, WA 98383-8505
Phone (360) 782-3200
Hospital & facility affiliations
- St Michael Medical Center
- Olympic Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2003018910 | MO | MD | Urology Physician |
| OP60272190 | WA | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franciscan Medical Group | Current | Accepting new patients | |
| Franciscan Medical Group | Current | Accepting new patients | |
| Franciscan Medical Group | Current | Accepting new patients | |
| Alii Health Center | Urology | Past | Accepting new patients |
| Franciscan Medical Group | Past | Accepting new patients |
Locations
11307 Bridgeport Way SW
Ste 217
Lakewood, WA 98499
Phone (253) 985-6134
19245 7th Ave NE
Poulsbo, WA 98370
Phone (360) 782-3500
9621 Ridgetop Blvd NW
Silverdale, WA 98383
Phone (360) 782-3300
2011 NW Myhre Pl
Silverdale, WA 98383
Phone (360) 830-1600
9398 Ridgetop Blvd NW
Silverdale, WA 98383
Phone (360) 782-3200
1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200
Interoperability endpoints
- jason.durbin@tdc.directbygreenway.com
Organizations & group practices 8
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.
-
- Orthopaedic Surgery Physician
- Silverdale, WA
- NPI 1093165334
-
- Critical Access Hospital
- Chelan, WA
- NPI 1578568853
-
- Critical Access Hospital
- Ellensburg, WA
- NPI 1356375307
-
- Family Medicine Physician
- Wytheville, VA
- NPI 1780630327
-
- Family Medicine Physician
- Tacoma, WA
- NPI 1366539421
-
- Internal Medicine Physician
- Silverdale, WA
- NPI 1710432612
-
- Family Medicine Physician
- Gig Harbor, WA
- NPI 1386602555
-
- Urology Physician
- Kailua Kona, HI
- NPI 1225620321
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Port Angeles, WA
- NPI 1306845557
-
- General Acute Care Hospital
- Silverdale, WA
- NPI 1518912609
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704412800000",
"number": "1124098173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9621 RIDGETOP BLVD NW",
"city": "SILVERDALE",
"state": "WA",
"postal_code": "983838502",
"telephone_number": "360-782-3600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9398 RIDGETOP BLVD NW",
"city": "SILVERDALE",
"state": "WA",
"postal_code": "983838505",
"telephone_number": "360-782-3222",
"fax_number": "360-782-3244"
}
],
"practiceLocations": [
{
"address_1": "19245 7th Ave NE",
"address_purpose": "LOCATION",
"city": "Poulsbo",
"state": "WA",
"postal_code": "983706551",
"country_code": "US",
"telephone_number": "360-782-3500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DURBIN",
"first_name": "JASON",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-24",
"last_updated": "2024-01-05",
"certification_date": "2024-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "MO",
"license": "2003018910",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "WA",
"license": "OP60272190",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2017817",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Silverdale, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; 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.