Organization Active NPI

Dr. David Earl, MD Inc. PS

  • Internal Medicine Physician
  • Moses Lake, WA
National Provider Identifier
1821186511
Registry record updated Jan 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
DR. DAVID EARL, MD INC. PS
Practice address
1550 S Pioneer Way
Suite 200
Moses Lake, WA 98837-4613
Phone
(509) 765-1538
Fax
(509) 765-7508
NPI assigned
Oct 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2018

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

Authorized official

Name
Dr. David Earl, MD
Title
MD
Phone
(509) 765-1538

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Medical Specialty Clinic/Center 261QM2500X MD00028611 WA

Addresses

Primary practice location

1550 S Pioneer Way
Suite 200
Moses Lake, WA 98837-4613

Mailing address

1550 S Pioneer Way
Suite 200
Moses Lake, WA 98837-4613
Phone (509) 765-1538

Other identifiers 2

IdentifierTypeStateIssuer
7117575MedicaidWA
0174366OtherWADEPT OF L&I

Other names 1

  • Dr. David Earl, MD Inc PS Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515369600000",
    "number": "1821186511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 S PIONEER WAY",
            "address_2": "SUITE 200",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988374613",
            "telephone_number": "509-765-1538",
            "fax_number": "509-765-7508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 S PIONEER WAY",
            "address_2": "SUITE 200",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988374613",
            "telephone_number": "509-765-1538",
            "fax_number": "509-765-7508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. DAVID EARL, MD INC. PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2018-01-08",
        "status": "A",
        "authorized_official_last_name": "EARL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "509-765-1538",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "WA",
            "license": "MD00028611",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7117575",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF L&I",
            "identifier": "0174366",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. David Earl, MD Inc PS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Moses Lake, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2018; 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.