Organization Active NPI

South Sound Vasectomy and Men's Health

  • General Practice Physician
  • Olympia, WA
National Provider Identifier
1528599685
Registry record updated Mar 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
MD60017650 Issued in WA
Legal business name
SOUTH SOUND VASECTOMY AND MEN'S HEALTH
Practice address
324 W Bay Dr NW
Suite 105
Olympia, WA 98502-4926
Phone
(360) 742-3562
Fax
(360) 915-7925
NPI assigned
Mar 21, 2017
Last updated
Mar 21, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2017

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

Authorized official

Name
Timothy Neal Zola, MDNPI 1174662100
Title
Medical Director
Phone
(360) 742-3562

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X MD60017650 WA Primary
Clinic/Center 261Q00000X NU

Addresses

Primary practice location

324 W Bay Dr NW
Suite 105
Olympia, WA 98502-4926

Mailing address

324 W Bay Dr NW
Suite 105
Olympia, WA 98502-4926
Phone (360) 742-3562

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2118292South Sound Vasectomy324 West Bay Dr NW Ste 105, Olympia, WA 98502Provider-performed microscopyApr 4, 2028

National Provider Directory

National Provider Directory

Locations

324 West Bay Dr NW
Ste 105
Olympia, WA 98502
Phone (360) 742-3562

Practitioners & affiliated clinicians

Practitioners 1

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": "1490054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490054400000",
    "number": "1528599685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 W BAY DR NW",
            "address_2": "SUITE 105",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985024926",
            "telephone_number": "360-742-3562",
            "fax_number": "360-915-7925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 W BAY DR NW",
            "address_2": "SUITE 105",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985024926",
            "telephone_number": "360-742-3562",
            "fax_number": "360-915-7925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SOUND VASECTOMY AND MEN'S HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-21",
        "last_updated": "2017-03-21",
        "status": "A",
        "authorized_official_last_name": "ZOLA",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "NEAL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "360-742-3562",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "WA",
            "license": "MD60017650",
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "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 Mar 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.