Individual provider Active NPI

Douglas W Calf Robe, PA-C

  • Medical Physician Assistant
  • Seattle, WA
National Provider Identifier
1780622985
Registry record updated Nov 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA-10004986 Issued in WA
Practice address
4755 Fauntleroy Way SW Ste 110
Seattle, WA 98116-4669
Phone
(206) 201-0551
NPI assigned
Jun 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA-10004986 WA Primary

Addresses

Primary practice location

4755 Fauntleroy Way SW Ste 110
Seattle, WA 98116-4669

Mailing address

4755 Fauntleroy Way SW
Seattle, WA 98116-4647
Phone (206) 201-0551

Other practice location 1

31675 Pacific Hwy S
Federal Way, WA 98003-5407
Phone (253) 215-1093

Other identifiers 1

IdentifierTypeStateIssuer
2155795MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dcalf602854@fhsce.catholichealth.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA-10004986WAMDMedical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1780622985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4755 FAUNTLEROY WAY SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981164647",
            "telephone_number": "206-201-0551",
            "fax_number": "206-201-0551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4755 FAUNTLEROY WAY SW STE 110",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981164669",
            "telephone_number": "206-201-0551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31675 Pacific Hwy S",
            "address_purpose": "LOCATION",
            "city": "Federal Way",
            "state": "WA",
            "postal_code": "980035407",
            "country_code": "US",
            "telephone_number": "253-215-1093",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALF ROBE",
        "first_name": "DOUGLAS",
        "middle_name": "W",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA-10004986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2155795",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dcalf602854@fhsce.catholichealth.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4755 Fauntleroy Way SW Ste 110",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981164669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.