MIKAEL KAUTSKY D D S P S


Address: 1100 Eastside St Se # 4, Olympia, WA 98501-7304
Phone: 3609436378

MIKAEL KAUTSKY D D S P S (NPI# 1538567953) 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) 1538567953
Entity Type Organization
Organization Name MIKAEL KAUTSKY D D S P S
Practice Address 1100 Eastside St Se # 4
Olympia
WA 98501-7304
Practice Telephone 3609436378
Practice Fax Number 3607053159
Mailing Telephone 3609436378
Mailing Fax Number 3607053159
Enumeration Date 2014-12-17
Last Update Date 2014-12-17
Authorized Official Name MIKAEL KAUTSKY (PRESIDENT)
Authorized Official Telephone 3609436378
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332B00000X Durable Medical Equipment & Medical Supplies DE 00007768 WA Suppliers

Office Location

Street Address 1100 EASTSIDE ST SE # 4
City OLYMPIA
State WA
Zip Code 98501-7304

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1952881161 Paige Gautreaux Peer Specialist 908 5th Avenue Se, Olympia, WA 98501 2018-08-16
1548773997 Carla Van Dam Psychologist 2620 Rw Johnson Blvd Sw Suite 204, Tumwater, WA 98501 2017-11-08
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Taxonomy Information

Taxonomy Code 332B00000X
Grouping Suppliers
Classification Durable Medical Equipment & Medical Supplies

Taxonomy Definition

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447517610 Orthosolutions Nw, LLC Durable Medical Equipment & Medical Supplies 2024 Caton Way Sw, Suite 203, Olympia, WA 98502-1119 2012-04-12
1518031483 Hanger Prosthetics & Orthotics West Inc Durable Medical Equipment & Medical Supplies 3508 12th Ave Ne, Olympia, WA 98506-5218 2006-11-20
1508958885 Custom Care Solutions, LLC Durable Medical Equipment & Medical Supplies 204 Quince St Ne, Suite 100, Olympia, WA 98506-4009 2006-09-28
1962511287 Thrifty Payless Inc Durable Medical Equipment & Medical Supplies 305 Cooper Point Road Northwest, Olympia, WA 98502-4436 2006-08-30
1801828207 Olympia Respiratory Services, LLC Durable Medical Equipment & Medical Supplies 1404 Harrison Ave Nw, Olympia, WA 98502-5351 2006-07-07
1134158165 Safeway Inc Durable Medical Equipment & Medical Supplies 4280 Martin Way E, Olympia, WA 98516-5354 2006-07-02
1316983901 Safeway Inc Durable Medical Equipment & Medical Supplies 3215 Harrison Ave Nw, Olympia, WA 98502-8704 2006-06-21
1598294779 Washington Orthopaedic Center, Inc, Ps Durable Medical Equipment & Medical Supplies 704 Lilly Rd Se, Olympia, WA 98501-2115 2017-06-09
1972958304 Safeway Inc Durable Medical Equipment & Medical Supplies 1313 Cooper Point Rd Sw, Olympia, WA 98502-5729 2016-05-04
1598110322 Albertsons LLC Durable Medical Equipment & Medical Supplies 3520 Pacific Ave Se, Olympia, WA 98501-2121 2016-04-29
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Competitor

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City OLYMPIA
Zip Code 98501

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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.

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