Olympic Plastic Surgery Suite

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

OLYMPIC PLASTIC SURGERY SUITE

Practice address

2600 Cherry Avenue
Suite 201
Bremerton, WA 98310

Phone

(360) 415-0762

Fax

(360) 792-1166

NPI assigned

Mar 22, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Suzanne M Fletcher

Title

Administrator

Phone

(360) 415-0762

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248652800000",
    "number": "1467578393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 CHERRY AVENUE",
            "address_2": "SUITE 201",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "98310",
            "telephone_number": "360-415-0762",
            "fax_number": "360-792-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 CHERRY AVENUE",
            "address_2": "SUITE 201",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "98310",
            "telephone_number": "360-415-0762",
            "fax_number": "360-792-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLYMPIC PLASTIC SURGERY SUITE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2009-07-27",
        "status": "A",
        "authorized_official_last_name": "FLETCHER",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "360-415-0762",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7041791",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I",
            "identifier": "55649",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Olympic Internal Medicine, Inc., P.S.
• Olympic Marmot Healthcare LLC
• Olympic Peaks Optical
• Olympic Peninsula Kidney Center
• Olympic Peninsula Kidney Center
• Olympic Psychiatric & Wellness Center
• Olympic Radiology Associates Inc PS
• Olympic Radiology LLC
• Benjamin Franklin Curativo Ong Jr., PHARMD
• Naser H Oria, MD

• All providers in Bremerton, WA
• Ambulatory Surgical Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2009; 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.