NPIMap

Organization Active NPI

Paulus D Tsai MD PS

  • Otolaryngology Physician
  • Forks, WA
National Provider Identifier
1275720831
Registry record updated Sep 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
MD00043281 Issued in WA
Legal business name
PAULUS D TSAI MD PS
Practice address
530 Bogachiel Way
Forks, WA 98331-9120
Phone
(360) 374-6998
Fax
(360) 374-3162
NPI assigned
Sep 27, 2007
Last updated
Sep 27, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Paulus Darcy Tsai, MDNPI 1952445561
Title
President
Phone
(360) 461-3636

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X MD00043281 WA Primary

Addresses

Primary practice location

530 Bogachiel Way
Forks, WA 98331-9120

Mailing address

PO Box 2196
Sequim, WA 98382-2196
Phone (360) 461-3636

Other identifiers 4

IdentifierTypeStateIssuer
8408445MedicaidWA
8807671OtherWAMEDICARE
1120831MedicaidWA
G8807669OtherWAMEDICARE

National Provider Directory

National Provider Directory

Locations

500 W Fir St
Ste A
Sequim, WA 98382
Phone (360) 681-7500

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190851200000",
    "number": "1275720831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2196",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983822196",
            "telephone_number": "360-461-3636",
            "fax_number": "360-683-6488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 BOGACHIEL WAY",
            "city": "FORKS",
            "state": "WA",
            "postal_code": "983319120",
            "telephone_number": "360-374-6998",
            "fax_number": "360-374-3162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAULUS D TSAI MD PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-27",
        "last_updated": "2007-09-27",
        "status": "A",
        "authorized_official_last_name": "TSAI",
        "authorized_official_first_name": "PAULUS",
        "authorized_official_middle_name": "DARCY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-461-3636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "WA",
            "license": "MD00043281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8408445",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "8807671",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1120831",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "G8807669",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forks, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.