Gregary M. Blackner Inc. P.S.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

26210 Issued in WA

Legal business name

GREGARY M. BLACKNER INC. P.S.

Practice address

403 Black Hills LN SW
B
Olympia, WA 98502-8600

Phone

(360) 786-1297

Fax

(360) 534-9043

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Gregary M Blackner, MD

Title

Owner

Phone

(360) 786-1297

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283126400000",
    "number": "1326146754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 BLACK HILLS LN SW",
            "address_2": "STE B",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985028600",
            "telephone_number": "360-786-1297",
            "fax_number": "360-534-9043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 BLACK HILLS LN SW",
            "address_2": "B",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985028600",
            "telephone_number": "360-786-1297",
            "fax_number": "360-534-9043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGARY M. BLACKNER INC. P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2010-08-30",
        "status": "A",
        "authorized_official_last_name": "BLACKNER",
        "authorized_official_first_name": "GREGARY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-786-1297",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "26210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greenlee Wellness Center PS
• Daniel Frederick Greenlee, D.C.
• Julie Kathleen Greenlee
• Christina Rae Greenway, RNFA
• Dawn Michelle Greer, LMT
• Gregory L. Williams, Psy.D., PC
• Peter L Gregory, L.M.H.C.
• Bridget Greiff, OTR/L
• Susan Pilar Gresia, LICSW
• Griffin School District

• Family Medicine Physician in Olympia, WA
• Providers in Olympia, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2010; 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.