NPIMap

Individual provider Active NPI

Tyler W Zaugg, PA

  • Physician Assistant
  • Spokane, WA
National Provider Identifier
1578011789
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA60700085 Issued in WA
Practice address
5905 N Mayfair St Ste 200
Spokane, WA 99208-1127
Phone
(509) 456-7414
Fax
(509) 624-0763
NPI assigned
Sep 16, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA60700085 WA Primary

Addresses

Primary practice location

5905 N Mayfair St Ste 200
Spokane, WA 99208-1127

Mailing address

5905 N Mayfair St Ste 200
Spokane, WA 99208-1127
Phone (509) 456-7414

Other identifiers 1

IdentifierTypeStateIssuer
2071266MedicaidWA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161118000044 WA Practitioner - Physician Assistant 5698054450 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10 Nicholls St
Davenport, WA 99122-9729

10 Nicholls St
Clinic
Davenport, WA 99122-9730
Phone (509) 725-7501

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lincoln County Hospital District #3 CurrentSince Nov 21, 2016 Accepting new patients
Ferry County Public Hospital District No 1 CurrentSince Sep 24, 2021 Accepting new patients
Ferry County Public Hospital District No 1 CurrentSince Sep 24, 2021 Accepting new patients
Lincoln County Hospital District #3 CurrentSince Nov 21, 2016 Accepting new patients
Lincoln County Hospital District #3 / North Basin Medical Clinics CurrentSince Nov 21, 2016 Accepting new patients
Lincoln County Hospital District 3 PastSince Jul 24, 2022 Accepting new patients

Locations

100 3rd St
Ste 1
Davenport, WA 99122
Phone (509) 725-7501

10 Nicholls St
Davenport, WA 99122
Phone (509) 725-7101

10 Ros Cir
Republic, WA 99166
Phone (509) 775-3153

Interoperability endpoints

  • Direct secure messaging: tzaugg748793@wm.providencedirect.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1473984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1578011789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5905 N MAYFAIR ST STE 200",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992081127",
            "telephone_number": "509-456-7414",
            "fax_number": "509-624-0763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5905 N MAYFAIR ST STE 200",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992081127",
            "telephone_number": "509-456-7414",
            "fax_number": "509-624-0763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAUGG",
        "first_name": "TYLER",
        "middle_name": "W",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-16",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA60700085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2071266",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.