CMN Surgical PLLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

CMN SURGICAL PLLC

Practice address

145 Lilly Rd NE Ste 101
Olympia, WA 98506-5028

Phone

(360) 878-9300

Fax

(360) 878-9666

NPI assigned

Sep 13, 2020

Organization subpart

No

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

Authorized official

Name

Christopher M Nichols, MD

Title

Owner

Phone

(360) 878-9300

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1599955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599955200000",
    "number": "1396350765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 LILLY RD NE STE 101",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065028",
            "telephone_number": "360-878-9300",
            "fax_number": "360-878-9666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 LILLY RD NE STE 101",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065028",
            "telephone_number": "360-878-9300",
            "fax_number": "360-878-9666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CMN SURGICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-13",
        "last_updated": "2020-09-13",
        "certification_date": "2020-09-12",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-878-9300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Ann Clingenpeel, ARNP
• Jonathan Clough, LMP
• Ordorm Clow
• Sarah Marie Clue, OTR/L
• CMN Industries
• Mary Coacher, LMHC-A
• Trinity Faith Coady, LMT
• Leanne Elizabeth Cobb
• Tiasha L Cobbs
• Kasandra Dawn Cochran-Tinney, LPN

• Ambulatory Surgical Clinic/Center in Olympia, WA
• Providers in Olympia, WA by specialty
• Ambulatory Surgical Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.