OLYMPIA MULTI-SPECIALTY CLINIC AMBULATORY PROCEDURES CNTR PLLC (NPI# 1821101197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821101197 |
Entity Type | Organization |
Organization Name | OLYMPIA MULTI-SPECIALTY CLINIC AMBULATORY PROCEDURES CNTR PLLC |
Practice Address |
3920 Capitol Mall Dr Sw Suite 300 Olympia WA 98502-8700 |
Mailing Address |
406 Black Hills Ln Sw Ste A Olympia WA 98502-8144 |
Practice Telephone | 3607043401 |
Practice Fax Number | 3607540298 |
Mailing Telephone | 3607043401 |
Mailing Fax Number | 3607541783 |
Enumeration Date | 2006-08-17 |
Last Update Date | 2017-10-12 |
Authorized Official Name | DR. MARSHALL EDWARD MCCABE III (MEDICAL DIRECTOR) |
Authorized Official Telephone | 3607043401 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 174400000X | Specialist | FX00057092 | WA | Other Service Providers |
Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
Street Address |
3920 CAPITOL MALL DR SW SUITE 300 |
City | OLYMPIA |
State | WA |
Zip Code | 98502-8700 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922007848 | Austin C Lampert | Internal Medicine | 3920 Capitol Mall Dr Sw, Ste 308, Olympia, WA 98502-8701 | 2005-07-21 |
1568728509 | Laboratory Corporation of America | Clinical Medical Laboratory | 3920 Capitol Mall Dr Sw, Suite 100, Olympia, WA 98502-8700 | 2012-04-04 |
1073716262 | Respiratory Physicians of Southwest Washington | Specialist | 3920 Capitol Mall Dr Sw, Ste 304, Olympia, WA 98502-8700 | 2007-06-06 |
1114957875 | Northwest Surgical Group PC | Specialist | 3920 Capitol Mall Dr Sw, Suite 201, Olympia, WA 98502-8700 | 2006-07-05 |
1154351807 | Advanced Breast Techonology | Specialist | 3920 Capitol Mall Dr Sw, #100, Olympia, WA 98502-8700 | 2006-07-04 |
1700830064 | William Clarence Williard | Specialist | 3920 Capitol Mall Dr Sw, Suite 201, Olympia, WA 98502-8700 | 2006-05-20 |
1336198118 | David Michael Deitz | Surgery | 3920 Capitol Mall Dr Sw, Suite 302, Olympia, WA 98502-8700 | 2006-05-09 |
1104815950 | Laurel A Dickason | Obstetrics & Gynecology | 3920 Capitol Mall Dr Sw, Ste 400, Olympia, WA 98502-8700 | 2005-10-14 |
1790774545 | Kendra L Hansen | Obstetrics & Gynecology | 3920 Capitol Mall Dr Sw, Suite 400, Olympia, WA 98502-8700 | 2005-10-14 |
1588653398 | Debra A Johnson | Obstetrics & Gynecology | 3920 Capitol Mall Dr Sw, Ste 400, Olympia, WA 98502-8700 | 2005-10-14 |
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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 | 261QA1903X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Ambulatory Surgical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295258697 | Washington Center for Pain Management Pllc | Clinic/Center | 155 Lilly Rd Ne Ste 2, Olympia, WA 98506-5028 | 2017-07-18 |
1780845826 | Olympia Eye Clinic Pllc | Clinic/Center | 724 Columbia St Nw, Olympia, WA 98501-1291 | 2008-06-20 |
1548241623 | Gastroenterology Associates, LLC | Clinic/Center | 500 Lilly Rd Ne Ste 150, Olympia, WA 98506-9106 | 2005-11-07 |
1396350765 | Cmn Surgical Pllc | Clinic/Center | 145 Lilly Rd Ne Ste 101, Olympia, WA 98506-5028 | 2020-09-13 |
1215464979 | Washington Center for Pain Management Pllc | Clinic/Center | 155 Lilly Rd Ne, Suite 2, Olympia, WA 98506-5028 | 2017-05-12 |
1316315930 | Robert Gr Lang, Md Inc Ps | Clinic/Center | 3525 Ensign Rd Ne Ste J, Olympia, WA 98506-5065 | 2015-09-14 |
1710243514 | Donald G. Echols | Clinic/Center | 128 Lilly Rd Ne Ste 105, Olympia, WA 98506-7400 | 2012-04-05 |
1316040405 | Surgery Center of Olympia LLC | Clinic/Center | 410 Providence Ln Ne, Olympia, WA 98506-6927 | 2006-09-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942808571 | N W Eye Surgeons P C | Clinic/Center | 903 Medical Center Dr Ste 200, Arlington, WA 98223-2600 | 2020-10-15 |
1356965750 | Proliance Surgery Center At Valley, LLC | Clinic/Center | 4009 Talbot Road S, Suite 200, Renton, WA 98055 | 2020-06-01 |
1861041139 | Kadlec Regional Medical Center | Clinic/Center | 1270 Lee Blvd Ste B, Richland, WA 99352-4231 | 2019-09-09 |
1891357406 | Phoenix Ionm, LLC. | Clinic/Center | 11 Ohrazda Ln, East Wenatchee, WA 98802-9335 | 2019-07-03 |
1023570488 | Sight Partners, LLC | Clinic/Center | 3405 188th St Sw Ste 303, Lynnwood, WA 98037-4744 | 2019-04-04 |
1609345727 | Liberty Asc | Clinic/Center | 507 N Sullivan Suite 120, Spokane Valley, WA 99037 | 2018-11-19 |
1376026575 | Alderwood Surgery Center LLC | Clinic/Center | 3500 188th St Sw Ste 670, Lynnwood, WA 98037-4782 | 2018-09-13 |
1023507183 | South Perry Endoscopy Pllc | Clinic/Center | 907 S Perry St Ste 260, Spokane, WA 99202-3462 | 2018-05-04 |
1730687179 | Multicare Health System | Clinic/Center | 842 S Cowley St Ste 3, Spokane, WA 99202-1234 | 2018-01-31 |
1871033878 | Redmond Ambulatory Surgery Center, LLC | Clinic/Center | 18100 Ne Union Hill Rd Ste 340, Redmond, WA 98052 | 2017-02-24 |
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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.