OLYMPIA ORTHOPAEDIC ASSOCIATES, PLLC (NPI# 1558531459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558531459 |
Entity Type | Organization |
Organization Name | OLYMPIA ORTHOPAEDIC ASSOCIATES, PLLC |
Practice Address |
615 Lilly Rd Ne Suite 100 Olympia WA 98506-5117 |
Mailing Address |
Po Box 368 Olympia WA 98507-0368 |
Practice Telephone | 3604914211 |
Practice Fax Number | 3604930407 |
Mailing Telephone | 3604918439 |
Mailing Fax Number | 3604916328 |
Enumeration Date | 2008-03-06 |
Last Update Date | 2016-12-01 |
Authorized Official Name | DR. WILLIAM W PETERSON (MANAGING PARTNER) |
Authorized Official Telephone | 3604918439 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | 9061482 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144490145 | Olympia Orthopaedic Associates, Pllc | Durable Medical Equipment & Medical Supplies | 8140 Freedom Lane Ne, Lacey, WA 98516 | 2008-03-05 |
1144561267 | Olympia Orthopaedic Associates, Pllc | Physical Therapist | 3901 Capital Mall Dr Sw, Suite D, Olympia, WA 98502-8654 | 2013-03-14 |
1619127206 | Olympia Orthopaedic Associates, Pllc | Clinic/Center | 3901 Capital Mall Dr Sw, Ste C, Olympia, WA 98502-8654 | 2008-09-19 |
1174793137 | Olympia Orthopaedic Associates, Pllc | Durable Medical Equipment & Medical Supplies | 3901 Capital Mall Dr Sw, Suite A, Olympia, WA 98502-8654 | 2008-03-06 |
Street Address |
615 LILLY RD NE SUITE 100 |
City | OLYMPIA |
State | WA |
Zip Code | 98506-5117 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205885290 | Kathy Lucia Savatini | Physician Assistant | 615 Lilly Rd Ne, Ste 100, Olympia, WA 98506-5117 | 2006-05-08 |
1639546625 | Kara Markstrom | Physical Therapy Assistant | 615 Lilly Rd Ne, Olympia, WA 98506-5117 | 2015-08-26 |
1972845733 | Olympia Orthopaedic Associates Physical Therapy | Physical Therapist | 615 Lilly Rd Ne, Suite 240, Olympia, WA 98506-5117 | 2013-03-20 |
1285955054 | Maria Ciani | Obstetrics & Gynecology | 615 Lilly Rd Ne, Suite 200, Olympia, WA 98506-5117 | 2010-06-16 |
1821311465 | Jennifer Koleka Kratzer | Advanced Practice Midwife | 615 Lilly Rd Ne, Ste 200, Olympia, WA 98506-5117 | 2010-03-10 |
1508189887 | Michelle D Smith | Physician Assistant | 615 Lilly Rd Ne, Olympia, WA 98506-5117 | 2010-03-01 |
1992959746 | Gregory Dee Byrd | Orthopaedic Surgery | 615 Lilly Rd Ne, Suite 100, Olympia, WA 98506-5117 | 2008-11-06 |
1194976365 | Sarah Terese Calvert | Obstetrics & Gynecology | 615 Lilly Rd Ne, Suite 200, Olympia, WA 98506-5117 | 2008-10-07 |
1326237637 | Lori Welke | Physician Assistant | 615 Lilly Rd Ne, Ste 100, Olympia, WA 98506-5117 | 2007-10-23 |
1851437263 | Ruby J Franklin | Nurse Practitioner | 615 Lilly Rd Ne, Suite 200, Olympia, WA 98506-5117 | 2007-01-30 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477185460 | Chloe Harper | Technician, Other | 3443 Lilly Rd Se, Ste B, Olympia, WA 98506 | 2020-02-07 |
1912543539 | Jessica Marie Radakovich | Licensed Practical Nurse | 3426 Mary Elder Rd, Olympia, WA 98506 | 2019-11-19 |
1669014973 | Arlene Josephine Adams | Registered Nurse | 413 Lily Rd Ne, Olympia, WA 98506 | 2019-10-09 |
1861999120 | Debra Delores Barker | Licensed Practical Nurse | 3710 South Bay Rd Ne, Olympia, WA 98506 | 2018-04-12 |
1801304431 | Michelle Warner | Nurse Practitioner | 205 Lilly Rd Ne Ste A1, Olympia, WA 98506 | 2018-01-17 |
1396258364 | Institute for Family Development | Community/Behavioral Health | 204 Quince St. Ne, Suite 200, Olympia, WA 98506 | 2017-11-13 |
1083137715 | Cameron Kunkel | Specialist/Technologist | 2512 20th Ave Ne, Olympia, WA 98506 | 2017-07-25 |
1184144768 | Trevor Shane Kwan | Family Medicine | 525 Lilly Road Ne, Olympia, WA 98506 | 2017-06-23 |
1073043212 | Michael H Harburg | Behavior Technician | 3857 Martin Way Ne, Olympia, WA 98506 | 2017-06-19 |
1780114371 | Priscilla Kangyang Jadu | Counselor | 3857 Martin Way E., Olympia, WA 98506 | 2017-06-15 |
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Taxonomy Code | 332B00000X |
Grouping | Suppliers |
Classification | Durable Medical Equipment & Medical Supplies |
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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538567953 | Mikael Kautsky D D S P S | Durable Medical Equipment & Medical Supplies | 1100 Eastside St Se # 4, Olympia, WA 98501-7304 | 2014-12-17 |
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 |
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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.