NPIMap

Organization Active NPI

Olympic Occupational Medicine, LLC

  • Occupational Medicine Clinic/Center
  • Gig Harbor, WA
National Provider Identifier
1700506755
Registry record updated Sep 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
Legal business name
OLYMPIC OCCUPATIONAL MEDICINE, LLC
Doing business as
Olympic Occupational Medicine, LLC
Practice address
4411 Point Fosdick Dr Ste 305
Gig Harbor, WA 98335-1703
Phone
(731) 676-7643
NPI assigned
Aug 30, 2022
Last updated
Sep 28, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2022

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

Authorized official

Name
Brandon Turnbo, ARNPNPI 1487212783
Title
Owner
Phone
(731) 676-7643

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
Occupational Medicine Clinic/Center 261QX0100X Primary

Addresses

Primary practice location

4411 Point Fosdick Dr Ste 305
Gig Harbor, WA 98335-1703

Mailing address

11101 SE Southworth Dr
Port Orchard, WA 98366-8982
Phone (731) 676-7643

Other identifiers 1

IdentifierTypeStateIssuer
1487212783OtherWAINDIVIDUAL NPI

Other names 1

  • Olympic Occupational Medicine, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

4411 Point Fosdick Dr
Ste 305
Gig Harbor, WA 98335
Phone (731) 676-7643

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": "1661817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664323200000",
    "number": "1700506755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11101 SE SOUTHWORTH DR",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983668982",
            "telephone_number": "731-676-7643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4411 POINT FOSDICK DR STE 305",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351703",
            "telephone_number": "731-676-7643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLYMPIC OCCUPATIONAL MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-30",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A",
        "authorized_official_last_name": "TURNBO",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "731-676-7643",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1487212783",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Olympic Occupational Medicine, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gig Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; 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.