Olympia Respiratory Services, LLC

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

601977628 Issued in WA

Legal business name

OLYMPIA RESPIRATORY SERVICES, LLC

Practice address

1310 S Union Ave Ste B1
Tacoma, WA 98405-1907

Phone

(253) 507-5683

Fax

(253) 507-7793

NPI assigned

Mar 2, 2015

Organization subpart

No

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

Authorized official

Name

Stephen P Griggs

Title

Ceo

Phone

(407) 206-0040

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Tacoma Respiratory Services Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Med Star Surgical & Breathing Equipment, Inc.

  • Durable Medical Equipment & Medical Supplies
  • New York, NY
  • NPI 1003239740

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1425254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637539200000",
    "number": "1083006969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 W GERMANTOWN PIKE STE 250",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194621437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 S UNION AVE STE B1",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051907",
            "telephone_number": "253-507-5683",
            "fax_number": "253-507-7793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLYMPIA RESPIRATORY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-02",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A",
        "authorized_official_last_name": "GRIGGS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-206-0040"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WA",
            "license": "601977628",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "WA",
            "license": "601977628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9048695",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tacoma Respiratory Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tacoma Respiratory Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stacey Olson
• Susan Ann Olson, RNFA
• Tara Anastasia Olson, M.D.
• Tracy Olson
• Rebecca Olufade
• Olympic Dental & Denture Center, LLC
• Olympic Dental & Denture Center,LLC
• Olympic Psychology Services, PLLC
• Monica Om
• Rebecca Venezuela Omana-Daniels, DPM

• Oxygen Equipment & Supplies (DME) in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Oxygen Equipment & Supplies (DME) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2021; 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.