NPIMap

Organization Active NPI

Donald G. Echols

  • Ambulatory Surgical Clinic/Center
  • Olympia, WA
National Provider Identifier
1710243514
Registry record updated Apr 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
6463 Issued in WA
Legal business name
DONALD G. ECHOLS
Practice address
128 Lilly Rd NE Ste 105
Olympia, WA 98506-7400
Phone
(360) 357-9880
NPI assigned
Apr 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2012

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

Authorized official

Name
Dr. Donald Gay Echols
Title
President
Phone
(360) 357-9880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 6463 WA Primary

Addresses

Primary practice location

128 Lilly Rd NE Ste 105
Olympia, WA 98506-7400

Mailing address

128 Lilly Rd NE Ste 105
Olympia, WA 98506-7400

National Provider Directory

National Provider Directory
Tax ID family
Cowlitz Periodontal Care Implant Surgary2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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": "1333584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333584000000",
    "number": "1710243514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 LILLY RD NE STE 105",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985067400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 LILLY RD NE STE 105",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985067400",
            "telephone_number": "360-357-9880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD G. ECHOLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-05",
        "last_updated": "2012-04-05",
        "status": "A",
        "authorized_official_last_name": "ECHOLS",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "GAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-357-9880",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "WA",
            "license": "6463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 5, 2012; 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.