NPIMap

Organization Active NPI

Olympia Anesthesia Associates, PC

  • Anesthesiology Physician
  • Olympia, WA
National Provider Identifier
1528016870
Registry record updated Nov 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
OLYMPIA ANESTHESIA ASSOCIATES, PC
Practice address
205 Lilly Rd NE
Suite D
Olympia, WA 98506-5069
Phone
(360) 493-6400
NPI assigned
May 5, 2006
Last updated
Nov 14, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2007

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

Authorized official

Name
Mark Wagner, MD
Title
Head of Group
Phone
(360) 493-6400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X NU Primary

Addresses

Primary practice location

205 Lilly Rd NE
Suite D
Olympia, WA 98506-5069

Mailing address

PO Box 94625
Seattle, WA 98124-6925

National Provider Directory

National Provider Directory

Locations

205 Lilly Rd NE
Ste D
Olympia, WA 98506
Phone (360) 491-8667

410 Providence Ln NE
Olympia, WA 98506
Phone (360) 486-6300

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194998400000",
    "number": "1528016870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94625",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981246925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 LILLY RD NE",
            "address_2": "SUITE D",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065069",
            "telephone_number": "360-493-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLYMPIA ANESTHESIA ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2007-11-14",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "HEAD OF GROUP",
        "authorized_official_telephone_number": "360-493-6400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "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 Nov 14, 2007; 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.