Individual provider Active NPI

Daniel Stewart Wasserman, M.D.

  • Emergency Medicine Physician
  • Olympia, WA
National Provider Identifier
1851684526
Registry record updated Aug 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD60604643 Issued in WA
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

Updated by the provider on Aug 23, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160328000273 WA Practitioner - Emergency Medicine 3375760192 Reassigns benefits to 3 organizations

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
Olympia Emergency Services PLLCGroup PAC ID 9335035633, 31 clinicians

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

LicenseStateTypeSpecialty
A122604CAMDEmergency Medicine Physician
MD60604643WAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Public Hospital District 3 of Pacific County CurrentSince Jun 1, 2024 Accepting new patients
Public Hospital District 3 of Pacific County CurrentSince Jun 1, 2024 Accepting new patients
Public Hospital District 3 of Pacific County CurrentSince Jul 31, 2025 Accepting new patients
Olympia Emergency Services, PLLC Emergency Medicine CurrentSince Feb 11, 2016 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.