Active NPI
Paul E Debusschere, M.D.
- Pediatrics Physician
- Fircrest, WA
National Provider Identifier
1245217256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD00035432
- Practice address
- 1033 Regents Blvd
Suite 102
Fircrest, WA 98466-6045 - Phone
- (253) 564-1115
- Fax
- (253) 565-4552
- NPI assigned
- Dec 30, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD00035432 | WA | Primary |
Addresses
Primary practice location
1033 Regents Blvd
Suite 102
Fircrest, WA 98466-6045
Mailing address
1033 Regents Blvd
Suite 102
Fircrest, WA 98466-6045
Phone (253) 564-1115
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8230740 | Other | WA | DSHS NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Castle Rock Special Hospital District | Past | Accepting new patients | |
| Castle Rock Special Hospital District | Past | Accepting new patients | |
| Umbrella Pediatrics PC | Pediatrics | Past | Accepting new patients |
| University Place Pediatric Clinic P S | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- drdebusschere@uppc.opdirect.net
Organizations & group practices 4
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.
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- Green River, WY
- NPI 1013057173
-
- Family Medicine Physician
- Green River, WY
- NPI 1740206382
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389744000000",
"number": "1245217256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1033 REGENTS BLVD",
"address_2": "SUITE 102",
"city": "FIRCREST",
"state": "WA",
"postal_code": "984666045",
"telephone_number": "253-564-1115",
"fax_number": "253-565-4552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1033 REGENTS BLVD",
"address_2": "SUITE 102",
"city": "FIRCREST",
"state": "WA",
"postal_code": "984666045",
"telephone_number": "253-564-1115",
"fax_number": "253-565-4552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEBUSSCHERE",
"first_name": "PAUL",
"middle_name": "E",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-30",
"last_updated": "2014-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WA",
"license": "MD00035432",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DSHS NUMBER",
"identifier": "8230740",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fircrest, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.