Olympia Neurology, PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

OLYMPIA NEUROLOGY, PLLC

Practice address

525 Lilly Rd NE
Olympia, WA 98506-5101

Phone

(360) 413-8551

Fax

(360) 413-8827

NPI assigned

May 28, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Beverly J Engle

Title

Administrator

Phone

(360) 413-8551

Specialties & licenses 1

Addresses

Other identifiers 1

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Olympia Neurology, PLLC

  dba Brain & Spine Imaging Center

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Olympia, WA
  • NPI 1891946257
  NPPES parent name

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174570766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 LILLY RD NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065101",
            "telephone_number": "360-413-8551",
            "fax_number": "360-413-8827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 LILLY RD NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065101",
            "telephone_number": "360-413-8551",
            "fax_number": "360-413-8827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLYMPIA NEUROLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ENGLE",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "360-413-8551"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7107337",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Olympia Imaging Center
• Olympia Internal Medicine Assoc.,LLC
• Olympia Multi Specialty Clinic
• Olympia Multi-Specialty Clinic Ambulatory Procedures CNTR PLLC
• Olympia Mutual Aid Partners
• Olympia Neurology, PLLC (Brain & Spine Imaging Center)
• Olympia Neuropsychology
• Olympia Obstetrics & Gynecology PLLC
• Olympia Orthopaedic Associates Physical Therapy (Olymympia Orthopaedic Associates, PLLC)
• Olympia Orthopaedic Associates PLLC (Centralia Surgery Center)

• 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 Aug 22, 2020; 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.