UROLOGY ASSOCIATES, LTD., P.S. (NPI# 1699701292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699701292 |
| Entity Type | Organization |
| Organization Name | UROLOGY ASSOCIATES, LTD., P.S. |
| Practice Address |
3525 Ensign Rd Ne Suite A Olympia WA 98506-5065 |
| Practice Telephone | 3604564666 |
| Practice Fax Number | 3604591566 |
| Mailing Telephone | 3604564666 |
| Mailing Fax Number | 3604591566 |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2008-11-12 |
| Authorized Official Name | DR. MARK S PECKLER (PRESIDENT) |
| Authorized Official Telephone | 3604564666 |
| Authorized Official Credential | M.D.. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | MD00019049 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 7744006 | 05 | |
| WA | LABOR AND INDUSTRY | 54181 | 01 |
| WA | RAILROAD MEDICARE | CS0195 | 01 |
| WA | REGENCE | T00395 | 01 |
| Street Address |
3525 ENSIGN RD NE SUITE A |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98506-5065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356340970 | Olympia Radiologists, P.s. | Radiology | 3525 Ensign Rd Ne, Suite B, Olympia, WA 98506-5065 | 2005-07-15 |
| 1770950669 | Theresa Erin Duggan | Nurse Practitioner | 3525 Ensign Rd Ne, Olympia, WA 98506-5065 | 2015-08-26 |
| 1801283841 | James Simmons | Nurse Practitioner | 3525 Ensign Rd Ne, Suite E, Olympia, WA 98506-5065 | 2015-04-16 |
| 1417354960 | Allison Elise Hamza | Physician Assistant | 3525 Ensign Rd Ne, Suite N, Olympia, WA 98506-5065 | 2014-11-28 |
| 1306248927 | Andrea Simmons | Nurse Practitioner | 3525 Ensign Rd Ne, Ste B, Olympia, WA 98506-5065 | 2014-09-26 |
| 1417388182 | Cynthia Marie Mosebach | Nurse Practitioner | 3525 Ensign Rd Ne, Olympia, WA 98506-5065 | 2013-12-06 |
| 1700216223 | Northwest Asthma Allergy Center | Specialist | 3525 Ensign Rd Ne, Suite E, Olympia, WA 98506-5065 | 2013-11-19 |
| 1184052128 | Stefanie Denney | Hearing Instrument Specialist | 3525 Ensign Rd Ne, M-1, Olympia, WA 98506-5065 | 2013-10-30 |
| 1396187613 | Samy's Drug Store Inc. | Pharmacy | 3525 Ensign Rd Ne, Suite H, Olympia, WA 98506-5065 | 2013-07-29 |
| 1750675609 | Niranjan Sivakumar | Internal Medicine | 3525 Ensign Rd Ne, Suite K, Olympia, WA 98506-5065 | 2011-06-07 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 98506 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| 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. |
| 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 |
| 1104801356 | John Kelley Muenchrath | Urology | 404 Yauger Way Sw Ste 100, Olympia, WA 98502-8152 | 2005-12-09 |
| 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 |
| Find all providers in OLYMPIA | ||||
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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.