OLYMPIA ORTHOPAEDIC ASSOCIATES, PLLC (NPI# 1174793137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174793137 |
| Entity Type | Organization |
| Organization Name | OLYMPIA ORTHOPAEDIC ASSOCIATES, PLLC |
| Practice Address |
3901 Capital Mall Dr Sw Suite A Olympia WA 98502-8654 |
| Mailing Address |
Po Box 368 Olympia WA 98507-0368 |
| Practice Telephone | 3608768990 |
| Practice Fax Number | 3607869010 |
| Mailing Telephone | 3604918439 |
| Mailing Fax Number | 3604916328 |
| Enumeration Date | 2008-03-06 |
| Last Update Date | 2016-12-01 |
| Authorized Official Name | DR. WILLIAM W PETERSON (MANAGING PARTNER) |
| Authorized Official Telephone | 3604914211 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 9061557 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144490145 | Olympia Orthopaedic Associates, Pllc | Durable Medical Equipment & Medical Supplies | 8140 Freedom Lane Ne, Lacey, WA 98516 | 2008-03-05 |
| 1144561267 | Olympia Orthopaedic Associates, Pllc | Physical Therapist | 3901 Capital Mall Dr Sw, Suite D, Olympia, WA 98502-8654 | 2013-03-14 |
| 1619127206 | Olympia Orthopaedic Associates, Pllc | Clinic/Center | 3901 Capital Mall Dr Sw, Ste C, Olympia, WA 98502-8654 | 2008-09-19 |
| 1558531459 | Olympia Orthopaedic Associates, Pllc | Durable Medical Equipment & Medical Supplies | 615 Lilly Rd Ne, Suite 100, Olympia, WA 98506-5117 | 2008-03-06 |
| Street Address |
3901 CAPITAL MALL DR SW SUITE A |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98502-8654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639178361 | Daniel Arthur Churches | Physical Therapist | 3901 Capital Mall Dr Sw, Ste D, Olympia, WA 98502-8654 | 2005-07-15 |
| 1265937379 | Nicole Alisha Spencer | Registered Nurse | 3901 Capital Mall Dr Sw, Olympia, WA 98502-8654 | 2018-03-29 |
| 1912402397 | Kori Ann Dijos | Orthopaedic Surgery | 3901 Capital Mall Dr Sw, Olympia, WA 98502-8654 | 2018-03-27 |
| 1902350606 | Owen Harris | Physician Assistant | 3901 Capital Mall Dr Sw, Olympia, WA 98502-8654 | 2016-08-10 |
| 1376994228 | Dana Beth Hooper | Physical Therapist | 3901 Capital Mall Dr Sw, Olympia, WA 98502-8654 | 2016-06-22 |
| 1649639709 | Katie Jean Walczyk | Physical Therapist | 3901 Capital Mall Dr Sw, Suite D, Olympia, WA 98502-8654 | 2016-02-17 |
| 1609233527 | Camille Haskins | Physical Therapist | 3901 Capital Mall Dr Sw, Olympia, WA 98502-8654 | 2016-01-22 |
| 1023494200 | Renea Rochelle Atwood | Physical Therapy Assistant | 3901 Capital Mall Dr Sw, Olympia, WA 98502-8654 | 2015-08-10 |
| 1770975732 | Andrew Cummins | Physical Therapy Assistant | 3901 Capital Mall Dr Sw, Olympia, WA 98502-8654 | 2015-02-28 |
| 1629474465 | Stephen Burton | Physical Therapist | 3901 Capital Mall Dr Sw, Olympia, WA 98502-8654 | 2014-11-05 |
| 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 | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538567953 | Mikael Kautsky D D S P S | Durable Medical Equipment & Medical Supplies | 1100 Eastside St Se # 4, Olympia, WA 98501-7304 | 2014-12-17 |
| 1447517610 | Orthosolutions Nw, LLC | Durable Medical Equipment & Medical Supplies | 2024 Caton Way Sw, Suite 203, Olympia, WA 98502-1119 | 2012-04-12 |
| 1518031483 | Hanger Prosthetics & Orthotics West Inc | Durable Medical Equipment & Medical Supplies | 3508 12th Ave Ne, Olympia, WA 98506-5218 | 2006-11-20 |
| 1508958885 | Custom Care Solutions, LLC | Durable Medical Equipment & Medical Supplies | 204 Quince St Ne, Suite 100, Olympia, WA 98506-4009 | 2006-09-28 |
| 1962511287 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 305 Cooper Point Road Northwest, Olympia, WA 98502-4436 | 2006-08-30 |
| 1801828207 | Olympia Respiratory Services, LLC | Durable Medical Equipment & Medical Supplies | 1404 Harrison Ave Nw, Olympia, WA 98502-5351 | 2006-07-07 |
| 1134158165 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 4280 Martin Way E, Olympia, WA 98516-5354 | 2006-07-02 |
| 1316983901 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 3215 Harrison Ave Nw, Olympia, WA 98502-8704 | 2006-06-21 |
| 1598294779 | Washington Orthopaedic Center, Inc, Ps | Durable Medical Equipment & Medical Supplies | 704 Lilly Rd Se, Olympia, WA 98501-2115 | 2017-06-09 |
| 1972958304 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 1313 Cooper Point Rd Sw, Olympia, WA 98502-5729 | 2016-05-04 |
| 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.