Organization Active NPI

Olympia Emergency Care Physicians PLLC

  • Emergency Medicine Physician
  • Olympia, WA
National Provider Identifier
1396498671
Registry record updated Dec 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
OLYMPIA EMERGENCY CARE PHYSICIANS PLLC
Practice address
3900 Capital Mall Dr SW
Olympia, WA 98502-8654
Phone
(253) 403-8327
NPI assigned
Jan 27, 2022
Last updated
Dec 1, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
WASHINGTON EMERGENCY CARE PHYSICIANS PSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 1, 2022

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

Authorized official

Name
Wende Younger
Title
Cfo
Phone
(253) 403-8327

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X NU Primary

Addresses

Primary practice location

3900 Capital Mall Dr SW
Olympia, WA 98502-8654

Mailing address

PO Box 845856
Los Angeles, CA 90084-5856
Phone (253) 403-8327

Other practice location 1

315 Martin Luther King Jr Way
Tacoma, WA 98405-4234
Phone (253) 403-8327

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL http://wecphealth.org Tacoma Emergency Care Physicians, Inc., P.S.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220704000366 WA Part B Supplier - Clinic/Group Practice 2769862036 Receives reassigned benefits from 84 practitioners
Practice locations: Lacey, WA; Olympia, WA

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

4312 Pacific Ave SE
Lacey, WA 98503
Phone (253) 588-5340

Practitioners & affiliated clinicians

Practitioners 84

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 84

NPI Registry JSON

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

{
    "created_epoch": "1643241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669852800000",
    "number": "1396498671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 845856",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900845856",
            "telephone_number": "253-403-8327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 CAPITAL MALL DR SW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985028654",
            "telephone_number": "253-403-8327"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 Martin Luther King Jr Way",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984054234",
            "country_code": "US",
            "telephone_number": "253-403-8327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OLYMPIA EMERGENCY CARE PHYSICIANS PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WASHINGTON EMERGENCY CARE PHYSICIANS PS",
        "enumeration_date": "2022-01-27",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A",
        "authorized_official_last_name": "YOUNGER",
        "authorized_official_first_name": "WENDE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "253-403-8327"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "http://wecphealth.org",
            "affiliation": "Y",
            "affiliationName": "Tacoma Emergency Care Physicians, Inc., P.S.",
            "address_1": "315 Martin Luther King Jr Way",
            "city": "Tacoma",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984054234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Dec 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.