West Olympia Internal Medicine PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD00028885 Issued in WA

Legal business name

WEST OLYMPIA INTERNAL MEDICINE PLLC

Practice address

110 Delphi Rd NW
Suie 101
Olympia, WA 98502-1778

Phone

(360) 352-2909

Fax

(360) 352-2909

NPI assigned

Dec 19, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Eric J Klein, MDNPI 1083612568

Title

Owner

Phone

(360) 352-2909

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eric John Klein, MD

  • Internal Medicine Physician
  • Olympia, WA
  • NPI 1083612568
  Medicare reassignment NPD Authorized official
• Rebecca March, DO

  • Internal Medicine Physician
  • Olympia, WA
  • NPI 1407261936
  Medicare reassignment NPD

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256601600000",
    "number": "1699838540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 DELPHI RD NW",
            "address_2": "SUIE 101",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985021778",
            "telephone_number": "360-352-2909",
            "fax_number": "360-352-2909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 DELPHI RD NW",
            "address_2": "SUIE 101",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985021778",
            "telephone_number": "360-352-2909",
            "fax_number": "360-352-2909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST OLYMPIA INTERNAL MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2009-10-27",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-352-2909",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00028885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1069160",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "WE9115",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Ann Wesen, LMP
• Jaiza Wesley
• Samantha J Wesley, AAC
• West Coast Prosthetics and Orthotics, LLC
• West Olympia Family Medicine Inc, PC
• West Olympia Pharmacy
• West Olympia Pharmacy
• West Olympia Psychiatry PLLC
• West Thurston Regional Fire Protection Service Authority
• Brittany West, PA-C

• Internal Medicine Physician in Olympia, WA
• Providers in Olympia, WA by specialty
• Internal Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.