Individual provider Active NPI

Michael Driver, MD

  • Emergency Medicine Physician
  • Clarkston, WA
National Provider Identifier
1811033574
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD00025405 Issued in WA
Practice address
1221Highland Avenue
Clarkston, WA 99403
Phone
(509) 758-5511
Fax
(509) 751-9406
NPI assigned
Jan 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD00025405 WA Primary

Addresses

Primary practice location

1221Highland Avenue
Clarkston, WA 99403

Mailing address

PO Box 189
Clarkston, WA 99403-0189
Phone (509) 758-5511

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100304000095 WA Practitioner - Emergency MedicinePractitioner - Family Practice 1254403389 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Family Practice
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health First Urgent Care, PLLCGroup PAC ID 6507288990, 14 clinicians

Practice addresses (Care Compare)

37 Columbia Point Dr
Richland, WA 99352-4375
Phone (509) 300-1500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD00025405WAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Olney Emergency Group, a Professional LLC Emergency Medicine CurrentSince Nov 22, 2020 Accepting new patients
Chelan County Public Hospital District No 2 Current Accepting new patients
Health First Urgent Care, PLLC CurrentSince May 9, 2022 Accepting new patients
Health First Urgent Care, PLLC CurrentSince May 9, 2022 Accepting new patients
Adams County Public Hospital District 3 Current Accepting new patients
Columbia Valley Emergency Physicians LLC Emergency Medicine Past Accepting new patients

Locations

503 E Highland Ave
Chelan, WA 98816
Phone (509) 682-3300

315 N 14th Ave
Othello, WA 99344
Phone (509) 331-2667

5426 Road 68
Ste D
Pasco, WA 99301

37 Columbia Point Dr
Richland, WA 99352
Phone (509) 300-1500

502 W 4th Ave
Toppenish, WA 98948
Phone (509) 575-5000

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811033574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 189",
            "city": "CLARKSTON",
            "state": "WA",
            "postal_code": "994030189",
            "telephone_number": "509-758-5511",
            "fax_number": "509-751-9406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221HIGHLAND AVENUE",
            "city": "CLARKSTON",
            "state": "WA",
            "postal_code": "99403",
            "telephone_number": "509-758-5511",
            "fax_number": "509-751-9406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRIVER",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "MD00025405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarkston, WA

Sources for this page

Verify at the official NPI Registry.