Organization Active NPI

Edward I Dagher MD PLLC

  • Medical Specialty Clinic/Center
  • Olympia, WA
National Provider Identifier
1144659947
Registry record updated Nov 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
MD60025245 Issued in WA
Legal business name
EDWARD I DAGHER MD PLLC
Practice address
1822 Black Lake Blvd SW
Suite 102
Olympia, WA 98512-5628
Phone
(360) 358-3255
NPI assigned
Nov 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2013

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

Authorized official

Name
Dr. Edward Dagher, MDNPI 1487732145
Title
Owner
Phone
(360) 358-3255

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
Medical Specialty Clinic/Center 261QM2500X MD60025245 WA Primary

Addresses

Primary practice location

1822 Black Lake Blvd SW
Suite 102
Olympia, WA 98512-5628

Mailing address

PO Box 13316
Olympia, WA 98508-3316

Other names 1

  • Center for Musculoskeletal Evaluations Doing business as

National Provider Directory

National Provider Directory

Locations

1822 Black Lake Blvd SW
Ste 102
Olympia, WA 98512
Phone (360) 358-3255

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1383350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385510400000",
    "number": "1144659947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13316",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985083316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1822 BLACK LAKE BLVD SW",
            "address_2": "SUITE 102",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985125628",
            "telephone_number": "360-358-3255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD I DAGHER MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-02",
        "last_updated": "2013-11-27",
        "status": "A",
        "authorized_official_last_name": "DAGHER",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-358-3255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "WA",
            "license": "MD60025245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Musculoskeletal Evaluations",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 27, 2013; 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.