Individual provider Active NPI

Paul S Darby, MD

  • Occupational Medicine Physician
  • Tacoma, WA
National Provider Identifier
1366408353
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
MD00040014 Issued in WA
Practice address
Paul S. Darby, MD, PHD, P.S.
1901 65TH Avenue West, Suite 250
Tacoma, WA 98466
Phone
(253) 480-5884
Fax
(425) 728-5753
NPI assigned
Apr 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X MD00040014 WA
Occupational Medicine Physician 2083X0100X MD00040014 WA Primary

Addresses

Primary practice location

Paul S. Darby, MD, PHD, P.S.
1901 65TH Avenue West, Suite 250
Tacoma, WA 98466

Mailing address

MD PHD Services, PLLC
1901 65TH Avenue West, Suite 250
Tacoma, WA 98466
Phone (253) 480-5884

Other identifiers 1

IdentifierTypeStateIssuer
07-07402OtherILMEDICAL REVIEW OFFICER CERTIFICATION COUNCIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pdarby17166@fhsce.catholichealth.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100114000087 WA Practitioner - Preventive MedicinePractitioner - General Practice 2860533700

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00040014WAMDPreventive Medicine/Occupational Environmental Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1366408353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MD PHD SERVICES, PLLC",
            "address_2": "1901 65TH AVENUE WEST, SUITE 250",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98466",
            "telephone_number": "253-480-5884",
            "fax_number": "425-728-5753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PAUL S. DARBY, MD, PHD, P.S.",
            "address_2": "1901 65TH AVENUE WEST, SUITE 250",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98466",
            "telephone_number": "253-480-5884",
            "fax_number": "425-728-5753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARBY",
        "first_name": "PAUL",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "WA",
            "license": "MD00040014",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "WA",
            "license": "MD00040014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL REVIEW OFFICER CERTIFICATION COUNCIL",
            "identifier": "07-07402",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pdarby17166@fhsce.catholichealth.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1930 Port Of Tacoma Rd",
            "city": "Tacoma",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984213707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.