Olympic Dermatologists, LTD., P.S.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

MD00032752 Issued in WA

Legal business name

OLYMPIC DERMATOLOGISTS, LTD., P.S.

Practice address

9951 Mickelberry Rd NW
Suite 201
Silverdale, WA 98383-8309

Phone

(360) 692-7318

Fax

(360) 308-0758

NPI assigned

Aug 30, 2006

Organization subpart

No

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

Authorized official

Name

Michael Scott Metzman, M.D.

Title

Owner

Phone

(360) 692-7318

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649389727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2347",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983832347",
            "telephone_number": "360-692-7318",
            "fax_number": "360-308-0758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9951 MICKELBERRY RD NW",
            "address_2": "SUITE 201",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838309",
            "telephone_number": "360-692-7318",
            "fax_number": "360-308-0758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLYMPIC DERMATOLOGISTS, LTD., P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "METZMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-692-7318",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "WA",
            "license": "MD00032752",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8188062",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lena Fusa Ogiwara, DMD
• Troy Reichi Okunami, D.D.S.
• Stephanie Oleachea, LMT
• Debbie Olerud-Curley, COTA
• Olive Crest
• Olympic Medical Imaging Consultants, PLLC
• Olympic Natural Medicine
• Olympic Peninsula Autism Center
• Olympic Peninsula Autism Center
• Olympic Penninsula Autism Center

• Dermatology Physician in Silverdale, WA
• Providers in Silverdale, WA by specialty
• Dermatology Physician in Washington

• 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.

Verify at the official NPI Registry.