Active NPI
Mark Urmanski, M.D
- General Practice Physician
- Olympia, WA
National Provider Identifier
1467574863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- AU11450
- Practice address
- 3700 Martin Way E
Suite 108
Olympia, WA 98506-5052 - Phone
- (360) 923-5565
- Fax
- (360) 923-5643
- NPI assigned
- Apr 4, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 11450 | WA | |
| General Practice Physician | 208D00000X | AU11450 | WA | Primary |
Addresses
Primary practice location
3700 Martin Way E
Suite 108
Olympia, WA 98506-5052
Mailing address
3700 Martin Way E
Suite 108
Olympia, WA 98506-5052
Phone (360) 923-5565
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 930052468 | Other | WA | RRN |
| 114326 | Other | WA | L&I |
| UR6557 | Other | WA | REGENCE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11450 | WA | MD | Emergency Medical Services (Emergency Medicine) Physician |
| AU11450 | WA | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urgent Care of Olympia | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Olympia, WA
- NPI 1922270891
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212019200000",
"number": "1467574863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3700 MARTIN WAY E",
"address_2": "SUITE 108",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985065052",
"telephone_number": "360-923-5565",
"fax_number": "360-923-5643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3700 MARTIN WAY E",
"address_2": "SUITE 108",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985065052",
"telephone_number": "360-923-5565",
"fax_number": "360-923-5643"
}
],
"practiceLocations": [],
"basic": {
"last_name": "URMANSKI",
"first_name": "MARK",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-04",
"last_updated": "2008-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "WA",
"license": "11450",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "WA",
"license": "AU11450",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRN",
"identifier": "930052468",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I",
"identifier": "114326",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE",
"identifier": "UR6557",
"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 May 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.