Provider Demographics
NPI:1346201258
Name:SCHWARTZ, DARREN CRAIG (MD)
Entity Type:Individual
Prefix:
First Name:DARREN
Middle Name:CRAIG
Last Name:SCHWARTZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2420 S UNION AVE
Mailing Address - Street 2:STE 200
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98405-1322
Mailing Address - Country:US
Mailing Address - Phone:253-272-8148
Mailing Address - Fax:253-404-0506
Practice Address - Street 1:3209 S 23RD ST
Practice Address - Street 2:STE 340
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98405-1602
Practice Address - Country:US
Practice Address - Phone:253-272-5127
Practice Address - Fax:253-404-0506
Is Sole Proprietor?:No
Enumeration Date:2006-03-30
Last Update Date:2014-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD60036494207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAMD60036494OtherLICENSE
WA8524415Medicaid
WAG8851595Medicare PIN
WA8524415Medicaid
WAG8875998Medicare PIN
WAP00714043Medicare PIN
WA8851594Medicare PIN
WAMD60036494OtherLICENSE
WAOO1045700Medicare PIN
WAG8851597Medicare PIN
WA000188100Medicare PIN
WAAB13179Medicare PIN
WAG8880511Medicare PIN
WAG8851596Medicare PIN