Active NPI
Daniel Stewart Wasserman, M.D.
- Emergency Medicine Physician
- Olympia, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD60604643
- Practice address
- 413 Lilly Rd NE
Mailstop Ddh09
Olympia, WA 98506-5133 - Phone
- (360) 493-4554
- NPI assigned
- May 27, 2011
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | A122604 | CA | |
| Emergency Medicine Physician | 207P00000X | MD60604643 | WA | Primary |
Addresses
Primary practice location
413 Lilly Rd NE
Mailstop Ddh09
Olympia, WA 98506-5133
Mailing address
413 Lilly Rd NE
Mailstop Ddh09
Olympia, WA 98506-5133
Phone (360) 493-4554
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
- Emergency Medicine
- Education
- Jefferson Medical College of Thomas Jefferson University, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
413 Lilly Rd NE
Olympia, WA 98506-5133
Phone (360) 493-4554
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A122604 | CA | MD | Emergency Medicine Physician |
| MD60604643 | WA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Public Hospital District 3 of Pacific County | Current | Accepting new patients | |
| Public Hospital District 3 of Pacific County | Current | Accepting new patients | |
| Public Hospital District 3 of Pacific County | Current | Accepting new patients | |
| Olympia Emergency Services, PLLC | Emergency Medicine | Current | Accepting new patients |
Locations
413 Lilly Rd NE
#9
Olympia, WA 98506
Phone (360) 491-9480
413 Lilly Rd NE
Olympia, WA 98506
Phone (360) 491-9480
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Olympia, WA
- NPI 1346267796
-
dba Ocean Beach Hospital
- Critical Access Hospital
- Ilwaco, WA
- NPI 1295771376
-
dba Ocean Beach Medical Group -Ocean Park
- Rural Health Clinic/Center
- Ocean Park, WA
- NPI 1417482191
-
dba Ocean Beach Hospital and Clinics Women's Health Center
- Rural Health Clinic/Center
- Ilwaco, WA
- NPI 1871822676
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Providence St Peter Hospital
- General Acute Care Hospital
- Olympia, WA
- NPI 1346250594
-
- General Acute Care Hospital
- Olympia, WA
- NPI 1619176997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471910400000",
"number": "1851684526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "413 LILLY RD NE",
"address_2": "MAILSTOP DDH09",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985065133",
"telephone_number": "360-493-4554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "413 LILLY RD NE",
"address_2": "MAILSTOP DDH09",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985065133",
"telephone_number": "360-493-4554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WASSERMAN",
"first_name": "DANIEL",
"middle_name": "STEWART",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-05-27",
"last_updated": "2016-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "A122604",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WA",
"license": "MD60604643",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2016; 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.