Organization Active NPI

David Medical Services PLLC

  • General Practice Physician
  • Olympia, WA
National Provider Identifier
1700519923
Registry record updated Jul 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
DAVID MEDICAL SERVICES PLLC
Practice address
203 4TH Ave E Ste 501
Olympia, WA 98501-1190
Phone
(614) 256-5071
NPI assigned
Jul 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2022

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

Authorized official

Name
Dr. Ryan Douglass Herrington, MD
Title
Senior Physician Advisor
Phone
(614) 256-5071

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

203 4TH Ave E Ste 501
Olympia, WA 98501-1190

Mailing address

4250 Martin Way E Ste 105
Olympia, WA 98516-5317
Phone (614) 256-5071

Other names 2

  • David Medical Services, PLLC Doing business as
  • Second Phoenix Recovery Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

203 4th Ave E
Ste 501
Olympia, WA 98501
Phone (360) 207-0083

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1657065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657065600000",
    "number": "1700519923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4250 MARTIN WAY E STE 105",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985165317",
            "telephone_number": "614-256-5071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 4TH AVE E STE 501",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985011190",
            "telephone_number": "614-256-5071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID MEDICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-06",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-01",
        "status": "A",
        "authorized_official_last_name": "HERRINGTON",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "DOUGLASS",
        "authorized_official_title_or_position": "SENIOR PHYSICIAN ADVISOR",
        "authorized_official_telephone_number": "614-256-5071",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "David Medical Services, PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Second Phoenix Recovery Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 6, 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.