Active NPI
South Sound Women's Center LLP
- Obstetrics & Gynecology Physician
- Olympia, WA
National Provider Identifier
1518033554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- SOUTH SOUND WOMEN'S CENTER LLP
- Practice address
- 3920 Capital Mall Dr SW
Suite 400
Olympia, WA 98502 - Phone
- (360) 705-1259
- Fax
- (360) 705-2757
- NPI assigned
- Nov 28, 2006
- Last updated
- Aug 22, 2020
- 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
- Richard N Henegan, MD
- Title
- Managing Partner
- Phone
- (360) 705-1259
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
3920 Capital Mall Dr SW
Suite 400
Olympia, WA 98502
Mailing address
3920 Capital Mall Dr SW
Suite 400
Olympia, WA 98502
Phone (360) 705-1259
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7075617 | Medicaid | WA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
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.
-
- Obstetrics & Gynecology Physician
- Olympia, WA
- NPI 1275522021
-
- Advanced Practice Midwife
- Olympia, WA
- NPI 1881628048
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1518033554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3920 CAPITAL MALL DR SW",
"address_2": "SUITE 400",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "98502",
"telephone_number": "360-705-1259",
"fax_number": "360-705-2757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3920 CAPITAL MALL DR SW",
"address_2": "SUITE 400",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "98502",
"telephone_number": "360-705-1259",
"fax_number": "360-705-2757"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH SOUND WOMEN'S CENTER LLP",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-28",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HENEGAN",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "MANAGING PARTNER",
"authorized_official_telephone_number": "360-705-1259",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7075617",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Olympia, WA
- South Sound Physical & Hand Therapy PLLC
- South Sound Pulmonary Associates
- South Sound Radiologists Inc P S (South Sound Radiology)
- South Sound Surgical Associates
- South Sound Vasectomy and Men's Health
- Jakob Larz South
- Craig Longridge Southwell, M.D.
- Gary Daniel Southwell, PH.D.
- Southwestern Washington Urology Clinic PLLC
- Xuan Sowell
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.