OLYMPIA ORTHOPAEDIC ASSOCIATES PLLC


Address: 3901 Capital Mall Dr Sw Ste B, Olympia, WA 98502-8654
Phone: 3604918439

OLYMPIA ORTHOPAEDIC ASSOCIATES PLLC (NPI# 1083785398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083785398
Entity Type Organization
Organization Name OLYMPIA ORTHOPAEDIC ASSOCIATES PLLC
Other Organization Name OLYMPIA SURGERY CENTER LLC
Practice Address 3901 Capital Mall Dr Sw Ste B
Olympia
WA 98502-8654
Mailing Address Po Box 368
Olympia
WA 98507-0368
Practice Telephone 3604918439
Practice Fax Number 3604916328
Mailing Telephone 3604918439
Mailing Fax Number 3604916328
Enumeration Date 2006-11-10
Last Update Date 2020-08-27
Authorized Official Name DR. WILLIAM W PETERSON (MANAGING PARTNER)
Authorized Official Telephone 3604555144
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 174400000X Specialist Other Service Providers
Y 261QA1903X Clinic/Center
Specialization: Ambulatory Surgical
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
WA 7111289 05
WA 7066269 05

Other Provider/Organization Names

Other Name Type Code
Olympia Surgery Center LLC Doing Business As Name - Organization

Office Location

Street Address 3901 CAPITAL MALL DR SW STE B
City OLYMPIA
State WA
Zip Code 98502-8654

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427108398 South Sound Anesthesia Associates Pllc Anesthesiology 3901 Capital Mall Dr Sw Ste B, Olympia, WA 98502-8654 2007-01-11

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QA1903X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Ambulatory Surgical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

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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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Competitor

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City OLYMPIA
Zip Code 98502

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Dataset Information

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.

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