Active NPI
South Sound Anesthesia Associates PLLC
- Anesthesiology Physician
- Olympia, WA
National Provider Identifier
1427108398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- MD00026484
- Legal business name
- SOUTH SOUND ANESTHESIA ASSOCIATES PLLC
- Practice address
- 3901 Capital Mall Dr SW Ste B
Olympia, WA 98502-8654 - Phone
- (360) 709-6230
- NPI assigned
- Jan 11, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gary Doolittle, MD
- Title
- Managing Member
- Phone
- (360) 709-6230
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MD00026484 | WA | Primary |
Addresses
Primary practice location
3901 Capital Mall Dr SW Ste B
Olympia, WA 98502-8654
Mailing address
PO Box 94525
Seattle, WA 98124-6825
Phone (425) 407-1500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040319001401 | WA | Part B Supplier - Clinic/Group Practice | 6204726383 |
Receives reassigned benefits from 8 practitioners Practice locations: Olympia, WA |
National Provider Directory
National Provider DirectoryLocations
3901 Capital Mall Dr SW
Ste B
Olympia, WA 98502
Phone (360) 528-8571
Practitioners & affiliated clinicians
Practitioners 10
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anesthesiology Physician
- Olympia, WA
- NPI 1841402104
Anesthesiology, WA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1578009600000",
"number": "1427108398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 94525",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981246825",
"telephone_number": "425-407-1500",
"fax_number": "425-407-1112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 CAPITAL MALL DR SW STE B",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985028654",
"telephone_number": "360-709-6230"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH SOUND ANESTHESIA ASSOCIATES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-11",
"last_updated": "2020-01-03",
"certification_date": "2020-01-03",
"status": "A",
"authorized_official_last_name": "DOOLITTLE",
"authorized_official_first_name": "GARY",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "360-709-6230",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": "WA",
"license": "MD00026484",
"primary": true
}
],
"identifiers": [],
"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 Jan 3, 2020; 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.