Mount Rainier Urology, Inc, PS

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

MD 60116602 Issued in WA

Legal business name

MOUNT RAINIER UROLOGY, INC, PS

Practice address

703 Lilly Rd NE
Suite 106
Olympia, WA 98506-5191

Phone

(360) 350-0281

Fax

(360) 918-8280

NPI assigned

Jan 13, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Simon Philip Zadina, M.D.

Title

President & Solo Practitioner

Phone

(360) 350-0281

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EFJACA

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

{
    "created_epoch": "1263340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424649600000",
    "number": "1053641183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 LILLY RD NE",
            "address_2": "SUITE 106",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065191",
            "telephone_number": "360-350-0281",
            "fax_number": "360-918-8280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 LILLY RD NE",
            "address_2": "SUITE 106",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065191",
            "telephone_number": "360-350-0281",
            "fax_number": "360-918-8280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT RAINIER UROLOGY, INC, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-13",
        "last_updated": "2015-02-23",
        "status": "A",
        "authorized_official_last_name": "ZADINA",
        "authorized_official_first_name": "SIMON",
        "authorized_official_middle_name": "PHILIP",
        "authorized_official_title_or_position": "PRESIDENT & SOLO PRACTITIONER",
        "authorized_official_telephone_number": "360-350-0281",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "WA",
            "license": "MD 60116602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keng Moua, PA-C
• Melvin Leroy Mould II, CERTIFIED INTERPRETE
• Diane Elizabeth Moulton
• Rachael I Moulton, LMT
• Rupinder Moundhi, MD
• Taylor Rae Mount
• Movement Metamorphosis, LLC
• Catherine M Moyer
• Madeline Moyer
• MSC McPhee LLC

• Urology Physician in Olympia, WA
• Providers in Olympia, WA by specialty
• Urology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2015; 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.