OLYMPIA ORTHOPAEDIC ASSOCIATES, PLLC (NPI# 1619127206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619127206 |
| Entity Type | Organization |
| Organization Name | OLYMPIA ORTHOPAEDIC ASSOCIATES, PLLC |
| Practice Address |
3901 Capital Mall Dr Sw Ste C Olympia WA 98502-8654 |
| Mailing Address |
Po Box 368 Olympia WA 98507-0368 |
| Practice Telephone | 3607868990 |
| Practice Fax Number | 3607869010 |
| Mailing Telephone | 3604918439 |
| Mailing Fax Number | 3604916328 |
| Enumeration Date | 2008-09-19 |
| 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 | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
Ambulatory Health Care Facilities |
| 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 |
| 1174793137 | Olympia Orthopaedic Associates, Pllc | Durable Medical Equipment & Medical Supplies | 3901 Capital Mall Dr Sw, Suite A, Olympia, WA 98502-8654 | 2008-03-06 |
| 1558531459 | Olympia Orthopaedic Associates, Pllc | Durable Medical Equipment & Medical Supplies | 615 Lilly Rd Ne, Suite 100, Olympia, WA 98506-5117 | 2008-03-06 |
| Street Address |
3901 CAPITAL MALL DR SW STE C |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98502-8654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639178361 | Daniel Arthur Churches | Physical Therapist | 3901 Capital Mall Dr Sw, Ste D, Olympia, WA 98502-8654 | 2005-07-15 |
| 1265937379 | Nicole Alisha Spencer | Registered Nurse | 3901 Capital Mall Dr Sw, Olympia, WA 98502-8654 | 2018-03-29 |
| 1912402397 | Kori Ann Dijos | Orthopaedic Surgery | 3901 Capital Mall Dr Sw, Olympia, WA 98502-8654 | 2018-03-27 |
| 1902350606 | Owen Harris | Physician Assistant | 3901 Capital Mall Dr Sw, Olympia, WA 98502-8654 | 2016-08-10 |
| 1376994228 | Dana Beth Hooper | Physical Therapist | 3901 Capital Mall Dr Sw, Olympia, WA 98502-8654 | 2016-06-22 |
| 1649639709 | Katie Jean Walczyk | Physical Therapist | 3901 Capital Mall Dr Sw, Suite D, Olympia, WA 98502-8654 | 2016-02-17 |
| 1609233527 | Camille Haskins | Physical Therapist | 3901 Capital Mall Dr Sw, Olympia, WA 98502-8654 | 2016-01-22 |
| 1023494200 | Renea Rochelle Atwood | Physical Therapy Assistant | 3901 Capital Mall Dr Sw, Olympia, WA 98502-8654 | 2015-08-10 |
| 1770975732 | Andrew Cummins | Physical Therapy Assistant | 3901 Capital Mall Dr Sw, Olympia, WA 98502-8654 | 2015-02-28 |
| 1629474465 | Stephen Burton | Physical Therapist | 3901 Capital Mall Dr Sw, Olympia, WA 98502-8654 | 2014-11-05 |
| Find all providers in the same location | ||||
| 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 Code | 261QM1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Magnetic Resonance Imaging (MRI) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891946257 | Olympia Neurology, Pllc | Clinic/Center | 128 Lilly Rd Ne, Suite 101, Olympia, WA 98506-7400 | 2008-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982653952 | Capital Imaging LLC | Clinic/Center | 220 Sw 43rd St, Renton, WA 98055-4936 | 2006-05-08 |
| 1952399123 | Proliance Surgeons, Inc., P.s. | Clinic/Center | 3801 5th St Se, Suite 110, Puyallup, WA 98374-2106 | 2005-10-11 |
| 1710980511 | Open Mri of Federal Way, L.L.C. | Clinic/Center | 33301 9th Ave S, Ste 105, Federal Way, WA 98003-2600 | 2005-05-24 |
| 1588899173 | Dynamic Medical Diagnostic Imaging Centers, LLC | Clinic/Center | 5038 Tacoma Mall Blvd, Suite C, Tacoma, WA 98409-7103 | 2009-05-26 |
| 1174799282 | South Sound Neurosurgery Pllc | Clinic/Center | 1519 3rd St Se, Suite 103, Puyallup, WA 98372-3742 | 2008-05-08 |
| 1467666701 | Objective Diagnostics & Research Ps | Clinic/Center | 4803 Center St, Tacoma, WA 98409-2319 | 2007-05-09 |
| 1013071877 | Cascade Imaging Associates L.L.C. | Clinic/Center | 1415 E Kincaid St, Mount Vernon, WA 98274-4126 | 2006-12-19 |
| 1932262904 | Proliance Surgeons, Inc., P.s. | Clinic/Center | 27005 168th Pl Se, Suite 201, Covington, WA 98042-4902 | 2006-12-19 |
| 1164586921 | Advanced Imaging Northwest, LLC | Clinic/Center | 1415 E Kincaid St, Mount Vernon, WA 98274-4126 | 2006-12-19 |
| 1700833357 | The Doctors Clinic A Professional Corporation | Clinic/Center | 2200 Nw Myhre Rd, Silverdale, WA 98383-7681 | 2006-05-28 |
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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.