David Boyd Sprouse, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA 60162509 Issued in WA

Practice address

5225 Cirque Dr W
200
University Place, WA 98467-3604

Phone

(253) 848-3000

NPI assigned

Oct 11, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cascade Eye and Skin Centers PCGroup PAC ID 4486541554, 47 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tacoma General Allenmore Hospital Hospital, Tacoma, WA, CCN 500129

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: d.sprouse@cascade.emadirect.md

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.

• Cascade Eye & Skin Centers P.C.

  • Ophthalmology Physician
  • Puyallup, WA
  • NPI 1033204938
  Medicare reassignment Care Compare group NPD
• Dermatology & Allergy Associates of the Hudson Valley, LLP

  • Dermatology Physician
  • Poughkeepsie, NY
  • NPI 1700896743
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Multicare Health System

  • General Acute Care Hospital
  • Tacoma, WA
  • NPI 1366556227
  Care Compare affiliation

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410912000000",
    "number": "1528256807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5225 CIRQUE DR W",
            "address_2": "200",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984673604",
            "telephone_number": "253-848-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225 CIRQUE DR W",
            "address_2": "200",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984673604",
            "telephone_number": "253-848-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPROUSE",
        "first_name": "DAVID",
        "middle_name": "BOYD",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-11",
        "last_updated": "2014-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA 60162509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Soundview Eyecare Inc.
• Soundviewcarecenter
• Ferman Sowell
• Cecilia E Sparks, INTERPRETER
• Speech With Brooke
• St. Joseph Medical Center
• Meagan Stansfield, PTA
• Avery Aleece Stanton
• Starbird Rising Wellness
• Tracy L Stearns-Church, ARNP

• Physician Assistant in University Place, WA
• Providers in University Place, WA by specialty
• Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.