Organization Active NPI

Gynecology Associates of Olympia

  • Obstetrics & Gynecology Physician
  • Olympia, WA
National Provider Identifier
1306868203
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
GYNECOLOGY ASSOCIATES OF OLYMPIA
Practice address
703 Lilly Road NE
Suite 102
Olympia, WA 98506
Phone
(360) 413-8200
Fax
(360) 413-8505
NPI assigned
Jul 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Marilyn D Gage, MD
Title
Owner Managing Physician
Phone
(360) 413-8200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X WA Primary

Addresses

Primary practice location

703 Lilly Road NE
Suite 102
Olympia, WA 98506

Mailing address

703 Lilly Road NE
Suite 102
Olympia, WA 98506
Phone (360) 413-8200

Other identifiers 1

IdentifierTypeStateIssuer
7128598MedicaidWA

National Provider Directory

National Provider Directory

Locations

703 Lilly Rd NE
Ste 102
Olympia, WA 98506
Phone (360) 413-8200

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": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306868203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 LILLY ROAD NE",
            "address_2": "SUITE 102",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "98506",
            "telephone_number": "360-413-8200",
            "fax_number": "360-413-8505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 LILLY ROAD NE",
            "address_2": "SUITE 102",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "98506",
            "telephone_number": "360-413-8200",
            "fax_number": "360-413-8505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GYNECOLOGY ASSOCIATES OF OLYMPIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GAGE",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER MANAGING PHYSICIAN",
        "authorized_official_telephone_number": "360-413-8200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7128598",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 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.