Respiratory Physicians of Southwest Washington

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD00013879 Issued in WA

Legal business name

RESPIRATORY PHYSICIANS OF SOUTHWEST WASHINGTON

Practice address

3920 Capitol Mall Dr SW
Ste 304
Olympia, WA 98502-8700

Phone

(360) 754-1739

Fax

(360) 236-1450

NPI assigned

Jun 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Joel Waylon Black, MD

Title

Owner Physician

Phone

(360) 754-1739

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353369600000",
    "number": "1073716262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 CAPITOL MALL DR SW",
            "address_2": "STE 304",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985028700",
            "telephone_number": "360-754-1739",
            "fax_number": "360-236-1450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 CAPITOL MALL DR SW",
            "address_2": "STE 304",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985028700",
            "telephone_number": "360-754-1739",
            "fax_number": "360-236-1450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESPIRATORY PHYSICIANS OF SOUTHWEST WASHINGTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2012-11-20",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "WAYLON",
        "authorized_official_title_or_position": "OWNER PHYSICIAN",
        "authorized_official_telephone_number": "360-754-1739",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "MD00013879",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1029578",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Collin Reninger
• Nathanial Allen Reninger
• Richard Allen Reninger
• Rebecca Jo Renn, M.D.
• Nadia Marie Renner, DPT
• Franklin B. Retherford, MD
• Retina and Macula Specialists PS
• Laura Lynn Reubenking
• James Leonard Reus, MD
• William F. Reus III, M.D.

• Specialist in Olympia, WA
• Providers in Olympia, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2012; 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.