Organization Active NPI

Olympic Medical PLLC

Doing business as Olympic Medical Clinic

  • Family Medicine Physician
  • Tumwater, WA
National Provider Identifier
1063010957
Registry record updated Nov 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
OLYMPIC MEDICAL PLLC
Doing business as
Olympic Medical Clinic
Practice address
6342 Littlerock Rd SW BLDG 3
Tumwater, WA 98512-7332
Phone
(425) 410-5998
Fax
(425) 217-0945
NPI assigned
Oct 13, 2020
Last updated
Nov 12, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2020

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

Authorized official

Name
Dr. Christopher Schwartz, DONPI 1457761280
Title
Physician/Clinic Owner
Phone
(425) 410-5998

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

6342 Littlerock Rd SW BLDG 3
Tumwater, WA 98512-7332

Mailing address

1410 Puget St NE
Olympia, WA 98506-4153
Phone (425) 410-5998

Other names 1

  • Olympic Medical Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210127000815 WA Part B Supplier - Clinic/Group Practice 4880008234 Receives reassigned benefits from 1 practitioner
Practice locations: Tumwater, WA

National Provider Directory

National Provider Directory

Locations

6342 Littlerock Rd SW
Bldg 3
Tumwater, WA 98512
Phone (425) 410-5998

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1602547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605139200000",
    "number": "1063010957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 PUGET ST NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985064153",
            "telephone_number": "425-410-5998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6342 LITTLEROCK RD SW BLDG 3",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985127332",
            "telephone_number": "425-410-5998",
            "fax_number": "425-217-0945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLYMPIC MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-13",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PHYSICIAN/CLINIC OWNER",
        "authorized_official_telephone_number": "425-410-5998",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Olympic Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tumwater, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.