NPIMap

Organization Active NPI

Osteopathic Medical Services Inc P.S.

Doing business as Country Doctor Clinic

  • Neuromusculoskeletal Medicine & OMM Physician
  • Maple Valley, WA
National Provider Identifier
1740453588
Registry record updated Dec 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
OP00001485 Issued in WA
Legal business name
OSTEOPATHIC MEDICAL SERVICES INC P.S.
Doing business as
Country Doctor Clinic
Practice address
22520 SE 218TH St
Maple Valley, WA 98038-8001
Phone
(425) 432-4554
Fax
(425) 432-4334
NPI assigned
Apr 11, 2008
Last updated
Dec 17, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2009

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

Authorized official

Name
Dr. Dale E Alsager, D.O., PH.D.
Title
Owner/President
Phone
(425) 432-4554

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 204D00000X OP00001485 WA Primary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X WA

Addresses

Primary practice location

22520 SE 218TH St
Maple Valley, WA 98038-8001

Mailing address

PO Box 11009
Olympia, WA 98508-1009
Phone (360) 352-2037

Other identifiers 1

IdentifierTypeStateIssuer
G217000642OtherWAMEDICARE

Other names 1

  • Country Doctor Clinic Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1207872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261008000000",
    "number": "1740453588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11009",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985081009",
            "telephone_number": "360-352-2037",
            "fax_number": "360-352-0637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22520 SE 218TH ST",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980388001",
            "telephone_number": "425-432-4554",
            "fax_number": "425-432-4334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSTEOPATHIC MEDICAL SERVICES INC P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-11",
        "last_updated": "2009-12-17",
        "status": "A",
        "authorized_official_last_name": "ALSAGER",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "425-432-4554",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O., PH.D."
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "WA",
            "license": "OP00001485",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "WA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "G217000642",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Country Doctor Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Maple Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2009; 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.