Active NPI
Daniel Madison Byrd, MD
- Hematology & Oncology Physician
- Lacey, WA
National Provider Identifier
1821112293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- MD60170930
- Practice address
- 4525 3Rd Ave SE Ste 200
PMG SW Wa PRCS Lacey Clinic
Lacey, WA 98503-1010 - Phone
- (360) 754-3934
- Fax
- (360) 943-8023
- NPI assigned
- Mar 19, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | MD60170930 | WA | Primary |
| Medical Oncology Physician | 207RX0202X | MD60170930 | WA |
Addresses
Primary practice location
4525 3Rd Ave SE Ste 200
PMG SW Wa PRCS Lacey Clinic
Lacey, WA 98503-1010
Mailing address
PO Box 3360
Portland, OR 97208-3360
Other practice location 1
2015 Cooks Hill Rd Ste 200
Centralia, WA 98531-9074
Phone (360) 330-8939
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dbyrd99603@wm.providencedirect.org | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- University of Texas Southwestern Medical School at Dallas, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2015 Cooks Hill Rd
Suite 200
Centralia, WA 98531-9074
Phone (360) 330-8939
413 Lilly Rd NE
Olympia, WA 98506-5133
Phone (360) 493-4083
4525 3Rd Ave SE
Suite 200
Lacey, WA 98503-1010
Phone (360) 754-3934
525 Lilly Rd NE
Olympia, WA 98506-5101
Hospital & facility affiliations
- Providence Centralia Hospital
- Providence St Peter Hospital
- Providence Portland Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD60170930 | WA | MD | Hematology & Oncology Physician |
Interoperability endpoints
- dbyrd99603@wm.providencedirect.org
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Olympia, WA
- NPI 1174744304
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Olympia, WA
- NPI 1346250594
-
- General Acute Care Hospital
- Centralia, WA
- NPI 1376624981
-
- General Acute Care Hospital
- Olympia, WA
- NPI 1619176997
-
- General Acute Care Hospital
- Portland, OR
- NPI 1003991845
-
- Case Manager/Care Coordinator
- Portland, OR
- NPI 1891822995
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620000000000",
"number": "1821112293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3360",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972083360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4525 3RD AVE SE STE 200",
"address_2": "PMG SW WA PRCS LACEY CLINIC",
"city": "LACEY",
"state": "WA",
"postal_code": "985031010",
"telephone_number": "360-754-3934",
"fax_number": "360-943-8023"
}
],
"practiceLocations": [
{
"address_1": "2015 Cooks Hill Rd Ste 200",
"address_purpose": "LOCATION",
"city": "Centralia",
"state": "WA",
"postal_code": "985319074",
"country_code": "US",
"telephone_number": "360-330-8939",
"fax_number": "360-330-8916",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BYRD",
"first_name": "DANIEL",
"middle_name": "MADISON",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-19",
"last_updated": "2021-05-03",
"certification_date": "2021-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "WA",
"license": "MD60170930",
"primary": true
},
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "WA",
"license": "MD60170930",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dbyrd99603@wm.providencedirect.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2015 Cooks Hill Rd Ste 200",
"city": "Centralia",
"state": "WA",
"country_code": "US",
"postal_code": "985319074",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Lacey, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2021; 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.