Individual provider Active NPI

Timothy Zola, MD

  • Emergency Medicine Physician
  • Olympia, WA
National Provider Identifier
1174662100
Registry record updated Mar 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD60017650 Issued in WA
Practice address
324 W Bay Dr NW Ste 105
Olympia, WA 98502-4926
Phone
(360) 742-3562
Fax
(360) 915-7925
NPI assigned
Feb 6, 2007
Last updated
Mar 21, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD60017650 WA Primary
General Practice Physician 208D00000X MD60017650 WA

Addresses

Primary practice location

324 W Bay Dr NW Ste 105
Olympia, WA 98502-4926

Mailing address

324 W Bay Dr NW Ste 105
Olympia, WA 98502-4926
Phone (360) 742-3562

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081002000591 WA Practitioner - Emergency Medicine 7618045758 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Olympia Emergency Services, PLLC Emergency Medicine CurrentSince Aug 4, 2008 Accepting new patients
South Sound Vasectomy and Men's Health General Practice Past Accepting new patients

Locations

413 Lilly Rd NE
Olympia, WA 98506
Phone (360) 491-9480

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490054400000",
    "number": "1174662100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 W BAY DR NW STE 105",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985024926",
            "telephone_number": "360-742-3562",
            "fax_number": "360-915-7925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 W BAY DR NW STE 105",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985024926",
            "telephone_number": "360-742-3562",
            "fax_number": "360-915-7925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOLA",
        "first_name": "TIMOTHY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2017-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "MD60017650",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "WA",
            "license": "MD60017650",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

Verify at the official NPI Registry.