NPIMap

Individual provider Active NPI

Philip M McLain, MD

  • Dermatology Physician
  • Gig Harbor, WA
National Provider Identifier
1912384710
Registry record updated Apr 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD60934257 Issued in WA
Practice address
4700 Point Fosdick Dr Ste 219
Gig Harbor, WA 98335-1706
Phone
(253) 851-7733
Fax
(535) 146-3202
NPI assigned
Apr 30, 2015
Last updated
Apr 7, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD60934257 WA Primary
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

4700 Point Fosdick Dr Ste 219
Gig Harbor, WA 98335-1706

Mailing address

4700 Point Fosdick Dr Ste 219
Gig Harbor, WA 98335-1706
Phone (253) 851-7733

Other practice location 1

4707 S 19th St Ste 130
Tacoma, WA 98405-1151
Phone (253) 752-2273

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pmclain@directaddress.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191003002115 WA Practitioner - Dermatology 3476884586 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4700 Point Fosdick Dr
Suite 219
Gig Harbor, WA 98335-1706

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.78 of 100Reported as group
Quality
79.58
Improvement activities
40
Cost
76.5

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision197
Removal of skin lesions960
Removal or shaving of skin growth1-10
Skin biopsy222

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD60934257WAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peninsula Dermatology & Laser Clinic PLLC Dermatology Past Accepting new patients
Eric O Rasmussen Dermatology Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: pmclain@directaddress.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1430352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1912384710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 POINT FOSDICK DR STE 219",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351706",
            "telephone_number": "253-851-7733",
            "fax_number": "253-514-6320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 POINT FOSDICK DR STE 219",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351706",
            "telephone_number": "253-851-7733",
            "fax_number": "535-146-3202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4707 S 19th St Ste 130",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984051151",
            "country_code": "US",
            "telephone_number": "253-752-2273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCLAIN",
        "first_name": "PHILIP",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-30",
        "last_updated": "2022-04-07",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WA",
            "license": "MD60934257",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pmclain@directaddress.net",
            "affiliation": "N",
            "address_1": "4700 Point Fosdick Dr Ste 219",
            "city": "Gig Harbor",
            "state": "WA",
            "country_code": "US",
            "postal_code": "983351706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gig Harbor, WA

Sources for this page

Verify at the official NPI Registry.