DR. JOHN KELLEY MUENCHRATH


Address: 404 Yauger Way Sw Ste 100, Olympia, WA 98502-8152
Phone: 3605964614

DR. JOHN KELLEY MUENCHRATH (NPI# 1104801356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104801356
Entity Type Individual
Full Name DR. JOHN KELLEY MUENCHRATH
Credential MD
Practice Address 404 Yauger Way Sw Ste 100
Olympia
WA 98502-8152
Mailing Address Po Box 18881
Belfast
ME 04915-4083
Practice Telephone 3605964614
Mailing Telephone 3605964880
Mailing Fax Number 3605964884
Enumeration Date 2005-12-09
Last Update Date 2019-12-16
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208800000X Urology MD60675016 WA Allopathic & Osteopathic Physicians
N 208800000X Urology MD20565 OR Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OR MEDICARE GROUP PIN NUMBER R0000WFBTV 01
OR NBMC NPI NUMBER-GROUP 1407812365 01
OR RR MEDICARE GROUP NUMBER CD8723 01
OR RR MEDICARE PTAN NUMBER 340016121 01
OR 150295 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
1900 Woodland Dr, Coos Bay, OR 974200000 5412675151 5412664537

Office Location

Street Address 404 YAUGER WAY SW STE 100
City OLYMPIA
State WA
Zip Code 98502-8152

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558741223 Laboratory Corporation of America Clinical Medical Laboratory 404 Yauger Way Sw Ste 100, Olympia, WA 98502-8152 2015-06-08
1861683799 Shawna E Purcell Internal Medicine 404 Yauger Way Sw Ste 100, Olympia, WA 98502-8152 2007-08-06
1578652558 Abba M Delker Specialist/Technologist 404 Yauger Way Sw Ste 100, Olympia, WA 98502-8152 2006-10-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801409172 Fanny Cordero Interpreter 1415 4th Ave W, Olympia, WA 98502 2020-08-26
1235762832 Accessible Living Physical Therapy Clinic/Center 3524 7th Ave Se, Olympia, WA 98502 2020-02-21
1548807738 Kaiser Foundation Health Plan of Washington Pharmacy 1200 Cooper Point Road Sw, Suite 100, Olympia, WA 98502 2019-12-06
1851946388 Katherine Ann Vitela Registered Nurse 4909 Green Wood Dr Sw, Olympia, WA 98502 2019-08-01
1538632658 Carmen Rae Breding Massage Therapist 2627 Capital Mall Dr Se, Olympia, WA 98502 2019-01-11
1285129155 Fook Yee Cheung Genetic Counselor, MS 2010 Caton Way Sw Ste 102, Olympia, WA 98502 2018-06-24
1942724158 William Coburn Specialist/Technologist 703 Lilly Road Ne, Suite 104, Olympia, WA 98502 2017-07-29
1225567415 Thierry Buckner Counselor 2400 Bristol Court Sw, Olympia, WA 98502 2017-06-09
1619406048 Trenton Reid Massage Therapist 2103 Harrison Ave Nw #2642, Olympia, WA 98502 2017-06-08
1962807305 Richa Mehta Dentist 1530 Black Lake Boulevard, Suite A103, Olympia, WA 98502 2014-10-28
Find all providers in zip 98502

Taxonomy Information

Taxonomy Code 208800000X
Grouping Allopathic & Osteopathic Physicians
Classification Urology

Taxonomy Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548359417 David Wayne Marsh Urology 412 Black Hills Ln Sw Ste C, Olympia, WA 98502-8142 2006-10-11
1972602969 Edith Diane Wilson Urology 615 Lilly Rd Ne Ste 175, Olympia, WA 98506-5179 2006-09-22
1174637599 Michael R Ellen Md Ps Urology 128 Lilly Rd Ne, Suite 205, Olympia, WA 98506-5029 2006-08-19
1679590384 John H Farrer Md Urology 703 Lilly Road Ne, Suite 104, Olympia, WA 98506 2006-07-17
1770511438 Mark S Peckler Urology 3525 Ensign Rd., Suite A, Olympia, WA 98505-0001 2006-06-29
1043203771 Daniel Mark Brown Urology 402 Black Hills Ln Sw, Suite A, Olympia, WA 98502-8145 2005-08-29
1548606346 Patrick William Murray Urology 149 Lilly Rd Ne, Olympia, WA 98506 2013-05-20
1861752347 Wai Lee Urology 149 Lilly Rd Ne, Olympia, WA 98506-5028 2012-05-18
1760785281 Capital Medical Center Specialty Physicians, LLC Urology 3900 Capitol Mall Dr Sw, Olympia, WA 98502-8654 2010-12-07
1386946325 Capital Urology Urology 404 Black Hills Ln Sw Ste D, Olympia, WA 98502-8148 2010-11-24
Find all providers in OLYMPIA

Competitor

Search similar providers

City OLYMPIA
Zip Code 98502

Improve Information

Please comment or provide details below to improve the information on DR. JOHN KELLEY MUENCHRATH.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches