Individual provider Active NPI

David A Paly, M.D.

  • Anesthesiology Physician
  • Puyallup, WA
National Provider Identifier
1316978091
Registry record updated Aug 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD00020325 Issued in WA
Practice address
1519 3Rd St SE
Puyallup, WA 98372-3742
Phone
(253) 841-8939
Fax
(253) 445-0756
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MD00020325 WA Primary
Pain Medicine (Anesthesiology) Physician 207LP2900X MD00020325 WA
Interventional Pain Medicine Physician 208VP0014X MD00020325 WA

Addresses

Primary practice location

1519 3Rd St SE
Puyallup, WA 98372-3742

Mailing address

69 Raft Island Dr NW
#A
Gig Harbor, WA 98335-5918

Other identifiers 3

IdentifierTypeStateIssuer
62772OtherL&I
PA0015OtherB/S REGENCE 90
1059534MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080925000630 WA Practitioner - Anesthesiology 3779650197 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD00020325WAMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Sound Neurosurgery PLLC CurrentSince Aug 19, 2010 Accepting new patients
South Sound Neurosurgery PLLC Current Accepting new patients
South Sound Neurosurgery PLLC CurrentSince Aug 19, 2010 Accepting new patients
Pacific Anesthesia PC Anesthesiology Past Accepting new patients
Sound Anesthesia, LLP Anesthesiology Past Accepting new patients

Locations

34515 9th Ave S
Federal Way, WA 98003
Phone (253) 835-8100

1519 3rd St SE
Ste 101
Puyallup, WA 98372
Phone (253) 841-8939

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9932/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282176000000",
    "number": "1316978091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 RAFT ISLAND DR NW",
            "address_2": "#A",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983355918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 3RD ST SE",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983723742",
            "telephone_number": "253-841-8939",
            "fax_number": "253-445-0756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALY",
        "first_name": "DAVID",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2010-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WA",
            "license": "MD00020325",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "WA",
            "license": "MD00020325",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "WA",
            "license": "MD00020325",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "62772",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "B/S REGENCE 90",
            "identifier": "PA0015",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1059534",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

Verify at the official NPI Registry.