NPIMap

Organization Active NPI

Olympia Family Medicine, Inc.

  • Family Medicine Physician
  • Olympia, WA
National Provider Identifier
1023201126
Registry record updated Jun 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
00019988 Issued in WA
Legal business name
OLYMPIA FAMILY MEDICINE, INC.
Practice address
3622A Ensign Rd NE
Olympia, WA 98506-5081
Phone
(360) 459-7282
NPI assigned
Aug 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Stephen C Albrecht, M.D.
Title
President
Phone
(360) 459-7282

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 00019988 WA Primary

Addresses

Primary practice location

3622A Ensign Rd NE
Olympia, WA 98506-5081

Mailing address

3622A Ensign Rd NE
Olympia, WA 98506-5081
Phone (360) 459-7282

Other identifiers 1

IdentifierTypeStateIssuer
7180011MedicaidWA

National Provider Directory

National Provider Directory

Locations

601 McPhee Rd SW
Ste 1
Olympia, WA 98502

3920 Capital Mall Dr SW
Ste 200
Olympia, WA 98502
Phone (360) 459-7282

1217 Cooper Point Rd SW
#2
Olympia, WA 98502
Phone (360) 569-9690

3622 Ensign Rd NE
Ste A
Olympia, WA 98506
Phone (360) 456-4124

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212364800000",
    "number": "1023201126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3622A ENSIGN RD NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065081",
            "telephone_number": "360-459-7282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3622A ENSIGN RD NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065081",
            "telephone_number": "360-459-7282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLYMPIA FAMILY MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-22",
        "last_updated": "2008-06-02",
        "status": "A",
        "authorized_official_last_name": "ALBRECHT",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-459-7282",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "00019988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7180011",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.