RESPIRATORY PHYSICIANS OF SOUTHWEST WASHINGTON (NPI# 1073716262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073716262 |
| Entity Type | Organization |
| Organization Name | RESPIRATORY PHYSICIANS OF SOUTHWEST WASHINGTON |
| Practice Address |
3920 Capitol Mall Dr Sw Ste 304 Olympia WA 98502-8700 |
| Practice Telephone | 3607541739 |
| Practice Fax Number | 3602361450 |
| Mailing Telephone | 3607541739 |
| Mailing Fax Number | 3602361450 |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2012-11-20 |
| Authorized Official Name | DR. JOEL WAYLON BLACK (OWNER PHYSICIAN) |
| Authorized Official Telephone | 3607541739 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MD00013879 | WA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1029578 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | RESPIRATORY PHYSICIANS OF SOUTHWEST WASHINGTON, PLLC | 3920 Capital Mall Dr Sw # 304, Olympia, WA 98502 |
| Street Address |
3920 CAPITOL MALL DR SW STE 304 |
| 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 |
| 1821101197 | Olympia Multi-specialty Clinic Ambulatory Procedures Cntr Pllc | Specialist | 3920 Capitol Mall Dr Sw, Suite 300, Olympia, WA 98502-8700 | 2006-08-17 |
| 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 |
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972982346 | Troy M Kochel | Specialist | 1308 Conger Ave Nw, Olympia, WA 98502-4866 | 2015-05-19 |
| 1164824041 | Franklin Paudler | Specialist | 8509 Island View Ct Ne, Olympia, WA 98506-9741 | 2014-09-22 |
| 1164830766 | Sarah Beth Killion | Specialist | 805 W Bay Dr Nw, Olympia, WA 98502-4839 | 2014-07-27 |
| 1629480629 | Jamie R Murphy | Specialist | 2350 Cain Rd Se Apt 15, Olympia, WA 98501-3073 | 2014-05-24 |
| 1578975876 | Richele Renee Akers | Specialist | 1832 Fairview St Ne, Olympia, WA 98506-3488 | 2014-05-21 |
| 1457781544 | Joanna Isobel Williams | Specialist | 3403 Steamboat Island Rd Nw, Olympia, WA 98502-4876 | 2013-11-26 |
| 1447692413 | Emily Pixie | Specialist | 1959 Union Ave Se, Olympia, WA 98501-1851 | 2013-07-19 |
| 1649616954 | Erin Marie Adams | Specialist | 1317 4th Ave E, #b, Olympia, WA 98506-4245 | 2013-05-14 |
| 1376987347 | Brook Lynn Schales | Specialist | 8839 Quinault Loop Ne, Olympia, WA 98516-5912 | 2013-04-22 |
| 1942643069 | Sharlene D. Reed | Specialist | 2108 Olympia Ave Ne, Olympia, WA 98506-4745 | 2013-04-08 |
| 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.