Active NPI
Vista Oncology Inc PS
- Specialist
- Olympia, WA
National Provider Identifier
1033435730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MD00043241
- Legal business name
- VISTA ONCOLOGY INC PS
- Practice address
- 141 Lilly Rd NE
Olympia, WA 98506-5028 - Phone
- (360) 413-8880
- Fax
- (360) 350-4838
- NPI assigned
- Apr 20, 2010
- Organization subpart
- Yes
- Parent organization
- VISTA ONCOLOGY INC PS
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Eric Zhang, RN
- Title
- Office Manager
- Phone
- (360) 413-8880
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MD00043241 | WA | Primary |
| Specialist | 174400000X | MD00043519 | WA |
Addresses
Primary practice location
141 Lilly Rd NE
Olympia, WA 98506-5028
Mailing address
141 Lilly Rd NE
Olympia, WA 98506-5028
Phone (360) 413-8880
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7142987 | Medicaid | WA | |
| 8392730 | Medicaid | WA | |
| 8391430 | Medicaid | WA |
National Provider Directory
National Provider Directory- Part of
- Vista Oncology Inc PS
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271721600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1271721600000",
"number": "1033435730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 LILLY RD NE",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985065028",
"telephone_number": "360-413-8880",
"fax_number": "360-350-4838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 LILLY RD NE",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985065028",
"telephone_number": "360-413-8880",
"fax_number": "360-350-4838"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VISTA ONCOLOGY INC PS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "VISTA ONCOLOGY INC PS",
"enumeration_date": "2010-04-20",
"last_updated": "2010-04-20",
"status": "A",
"authorized_official_last_name": "ZHANG",
"authorized_official_first_name": "ERIC",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "360-413-8880",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "WA",
"license": "MD00043241",
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "WA",
"license": "MD00043519",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7142987",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8392730",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8391430",
"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 Apr 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.