Organization Active NPI

Olympic Internal Medicine Associates, P.L.L.C.

  • Internal Medicine Physician
  • Bremerton, WA
National Provider Identifier
1619958162
Registry record updated Oct 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
OLYMPIC INTERNAL MEDICINE ASSOCIATES, P.L.L.C.
Practice address
2620 Wheaton Way
Ste 1
Bremerton, WA 98310-3335
Phone
(360) 377-3923
Fax
(360) 373-4988
NPI assigned
Nov 10, 2005
Last updated
Oct 2, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2009

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

Authorized official

Name
Dr. Gary Joseph Gretch, M.D.NPI 1053392597
Title
Partner
Phone
(360) 377-3923

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

2620 Wheaton Way
Ste 1
Bremerton, WA 98310-3335

Mailing address

2620 Wheaton Way
Ste 1
Bremerton, WA 98310-3335
Phone (360) 377-3923

Other identifiers 1

IdentifierTypeStateIssuer
7077423MedicaidWA

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
50D1107159Olympic Internal Medicine Inc PS2620 Wheaton Way, Bremerton, WA 98310Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Locations

2620 Wheaton Way
Ste 1
Bremerton, WA 98310
Phone (360) 377-3923

Practitioners & affiliated clinicians

Practitioners 5

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": "1131580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254441600000",
    "number": "1619958162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 WHEATON WAY",
            "address_2": "STE 1",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983103335",
            "telephone_number": "360-377-3923",
            "fax_number": "360-373-4988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 WHEATON WAY",
            "address_2": "STE 1",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983103335",
            "telephone_number": "360-377-3923",
            "fax_number": "360-373-4988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLYMPIC INTERNAL MEDICINE ASSOCIATES, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-10",
        "last_updated": "2009-10-02",
        "status": "A",
        "authorized_official_last_name": "GRETCH",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "360-377-3923",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7077423",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bremerton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2009; 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.