MICHAEL MEDLEY (NPI# 1952463531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952463531 |
Entity Type | Individual |
Full Name | MICHAEL MEDLEY |
Practice Address |
400 Yauger Way Sw Olympia WA 98502-8139 |
Practice Telephone | 3607549444 |
Enumeration Date | 2006-12-13 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
DE00005020 | WA | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275851388 | Michael Aaron Medley | Counselor | 3048 E Baseline Rd, Suite 108, Mesa, AZ 85204-7286 | 2010-05-13 |
Street Address |
400 YAUGER WAY SW |
City | OLYMPIA |
State | WA |
Zip Code | 98502-8139 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528441417 | West Olympia Pharmacy | Pharmacy | 400 Yauger Way Sw, Ste B, Olympia, WA 98502-8139 | 2015-07-09 |
1932454030 | Ryan D Womack Md Dds Pllc | Clinic/Center | 400 Yauger Way Sw, Suite A, Olympia, WA 98502-8139 | 2012-07-16 |
1720311442 | Ryan David Womack | Dentist | 400 Yauger Way Sw, Suite A, Olympia, WA 98502-8139 | 2009-09-14 |
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 | 1223S0112X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Oral and Maxillofacial Surgery |
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588644413 | Michael Edward Werner | Dentist | 3425 Ensign Rd Ne, Suite 310, Olympia, WA 98506-5425 | 2006-01-18 |
1356681407 | Michael R. Kelson | Dentist | 3624 Ensign Rd Ne, Suite A, Olympia, WA 98506-5074 | 2013-02-27 |
1417241282 | Austin Rubel | Dentist | 3425 Ensign Rd Ne, Suite 310, Olympia, WA 98506-5425 | 2011-06-08 |
1720311442 | Ryan David Womack | Dentist | 400 Yauger Way Sw, Suite A, Olympia, WA 98502-8139 | 2009-09-14 |
1730310426 | Peter David Gauger | Dentist | 3425 Ensign Rd Ne, Suite 310, Olympia, WA 98506-5425 | 2009-07-29 |
1699989749 | Michael R Kelson, Dds, Pllc | Dentist | 3624 Ensign Rd Ne, Olympia, WA 98506-5074 | 2007-05-09 |
1407944614 | South Sound Oral Surgery Pllc | Dentist | 3425 Ensign Rd Ne, Suite 310, Olympia, WA 98506 | 2006-10-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023619657 | Washington Jaw and Facial Surgery Pllc | Dentist | 451 Duvall Ave Ne Ste 100, Renton, WA 98059-4675 | 2020-11-02 |
1952909145 | Calley Christie Dmd Pllc | Dentist | 275 Sw 160th St Ste 115, Burien, WA 98166-3003 | 2020-10-11 |
1679197016 | Tae Youn Dds Md Pllc | Dentist | 15808 Mill Creek Blvd Ste 202, Mill Creek, WA 98012-1500 | 2020-06-02 |
1417416728 | Sam Wise | Dentist | 1538 11th Ave Lowr Columbia, Longview, WA 98632 | 2019-03-16 |
1740744374 | Thompson Ferguson Schrack Pllc | Dentist | 7604 Ne 5th Ave Ste 114, Vancouver, WA 98665-8200 | 2019-01-28 |
1053875096 | John K Tidwell Dds and Elizabeth A Kutcipal Dds Pllc | Dentist | 1801 Nw Market St Ste 108, Seattle, WA 98107-3909 | 2019-01-23 |
1255803904 | Edwards, Johnson, Johnson & Johnson D.d.s., P.l.l.c. | Dentist | 601 S Carr Rd Ste 300, Renton, WA 98055-5840 | 2018-12-19 |
1104396969 | Mark Stivers, Dds, Inc., P.s. | Dentist | 12728 19th Ave Se Ste 101, Everett, WA 98208-6526 | 2018-12-04 |
1144797499 | Washington Jaw and Facial Surgery Pllc | Dentist | 1370 116th Ave Ne Ste 101, Bellevue, WA 98004-3825 | 2018-10-25 |
1780151027 | Washington Jaw and Facial Surgery Pllc | Dentist | 2111 N Northgate Way Ste 105, Seattle, WA 98133-9018 | 2018-10-25 |
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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.