WESTERN WASHINGTON ONCOLOGY PLLC (NPI# 1033535109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033535109 |
| Entity Type | Organization |
| Organization Name | WESTERN WASHINGTON ONCOLOGY PLLC |
| Practice Address |
3920 Capital Mall Dr Sw Suite 100 Olympia WA 98502-8700 |
| Practice Telephone | 3607545168 |
| Practice Fax Number | 3603451382 |
| Mailing Telephone | 3607545168 |
| Mailing Fax Number | 3603451382 |
| Enumeration Date | 2014-03-12 |
| Last Update Date | 2014-06-12 |
| Authorized Official Name | MAURY NELSON BLITMAN (OWNER) |
| Authorized Official Telephone | 3607545168 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
| Street Address |
3920 CAPITAL MALL DR SW SUITE 100 |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98502-8700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740287036 | Nicole L Grous | Specialist | 3920 Capital Mall Dr Sw, Suite 100, Olympia, WA 98502-8701 | 2005-07-01 |
| 1689019788 | Marsha M Fulton | Technician, Other | 3920 Capital Mall Dr Sw, Ste 302, Olympia, WA 98502-8700 | 2013-05-02 |
| 1881902823 | Jessica Nicole Barker | Obstetrics & Gynecology | 3920 Capital Mall Dr Sw, Suite 400, Olympia, WA 98502 | 2010-09-23 |
| 1689874711 | Yoseph A Birku | Internal Medicine | 3920 Capital Mall Dr Sw, Suite 200, Olympia, WA 98502-8700 | 2007-07-18 |
| 1326261942 | Quoc T Phan | Family Medicine | 3920 Capital Mall Dr Sw, Suite 200, Olympia, WA 98502-8700 | 2007-04-11 |
| 1518033554 | South Sound Women's Center LLP | Obstetrics & Gynecology | 3920 Capital Mall Dr Sw, Suite 400, Olympia, WA 98502 | 2006-11-28 |
| 1629153184 | Austin C Lampert Md Inc PC | Clinical Medical Laboratory | 3920 Capital Mall Dr Sw, Suite 310, Olympia, WA 98502-8701 | 2006-10-25 |
| 1649296971 | Robert R Witham | Internal Medicine | 3920 Capital Mall Dr Sw, Suite 100, Olympia, WA 98502-8701 | 2006-07-13 |
| 1770545105 | Austin C Lampert Md Inc PC | Specialist/Technologist | 3920 Capital Mall Dr Sw, Suite 308, Olympia, WA 98502-8700 | 2006-04-03 |
| 1144208323 | Sara Elizabeth Pratt | Physician Assistant | 3920 Capital Mall Dr Sw, Suite 100, Olympia, WA 98502-8701 | 2006-01-06 |
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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 | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730412834 | Vista Oncology Inc Ps | Internal Medicine | 410 Black Hills Ln Sw, Suite C, Olympia, WA 98502-8155 | 2009-09-08 |
| 1841450301 | Vista Oncology Inc Ps | Internal Medicine | 141 Lilly Rd Ne, Olympia, WA 98506-5028 | 2008-06-09 |
| 1720109457 | Capital Oncology Pllc | Internal Medicine | 3920 Capitol Mall Dr. Sw, #100, Olympia, WA 98502-8701 | 2007-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477150969 | John Michael Pesando | Internal Medicine | 1066 East Blaine Street, Seattle, WA 98102-4260 | 2020-10-07 |
| 1265944003 | Langdon Leforrest Miller | Internal Medicine | 3057 Perkins Ln W, Seattle, WA 98199-2418 | 2017-11-02 |
| 1306214168 | Alvaro Perona Blazquez | Internal Medicine | 5049 38th Ave Ne, Seattle, WA 98105-3022 | 2015-09-10 |
| 1013318245 | Vivien R V B Santos | Internal Medicine | 5049 38th Avenue Ne, Seattle, WA 98105 | 2014-09-08 |
| 1154663581 | Victor Alexander Chow | Internal Medicine | 1100 Fairview Ave N # D5-390, Seattle, WA 98109-4433 | 2013-03-24 |
| 1508150111 | Robert Eugene Burdick | Internal Medicine | 2201 39th Ave E, Seattle, WA 98112-2401 | 2011-06-01 |
| 1962701110 | Toni Kay Roberts | Internal Medicine | 2720 Clare Ave Ste A, Bremerton, WA 98310-3374 | 2011-03-26 |
| 1124334792 | Wayne Russell Godfrey | Internal Medicine | 410 W Harrison St, Suite 100, Seattle, WA 98119-4033 | 2010-08-20 |
| 1407173826 | Joshua Robert Veatch | Internal Medicine | 1100 Fairview Ave N # D5-100, Seattle, WA 98109-4433 | 2010-04-24 |
| 1346562816 | Song Zhao | Internal Medicine | 515 Minor Ave Fl 1, Seattle, WA 98104-2120 | 2010-02-24 |
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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.