Michael Dean Scarbrough

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

MD00028701 Issued in WA

Practice address

624 N Yakima Ave
Tacoma, WA 98403-2418

Phone

(253) 691-0649

NPI assigned

Jul 11, 2006

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

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Pacific Anesthesia PC

  • Anesthesiology Physician
  • Tacoma, WA
  • NPI 1497796452
  NPD (past)

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308009600000",
    "number": "1568497303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 N YAKIMA AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984032418",
            "telephone_number": "253-691-0649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 N YAKIMA AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984032418",
            "telephone_number": "253-691-0649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCARBROUGH",
        "first_name": "MICHAEL",
        "middle_name": "DEAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2011-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WA",
            "license": "MD00028701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8129066",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "B/S REGENCE 90",
            "identifier": "SC2269",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "62861",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susanna J Saxon, AUD
• Lauren Elizabeth Saxton
• Melissia Y Saxton, PMHNP
• Katie S Sayers, PA-C
• Corrie Saylor
• Harmony Scarlet, PHARMD
• Michael L. Scaroni, PT
• Sequoia Marie Scarpaci, LMP
• Gina M Scarsella, PH.D.
• Shaianne Marie Scarsella

• Anesthesiology Physician in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Anesthesiology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2011; 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.