Active NPI
Paul S Darby, MD
- Occupational Medicine Physician
- Tacoma, WA
National Provider Identifier
1366408353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- License
- MD00040014
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07-07402 | Other | IL | MEDICAL REVIEW OFFICER CERTIFICATION COUNCIL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100114000087 | WA | Practitioner - Preventive Medicine | 2860533700 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00040014 | WA | MD | Preventive 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.