Abx Medical PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ABX MEDICAL PLLC

Practice address

2523 Simon LN NE
Olympia, WA 98506-3553

Phone

(786) 514-1221

NPI assigned

Jul 15, 2020

Last updated

Aug 27, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Haneen Aibak, MDNPI 1932362076

Title

Owner

Phone

(786) 514-1221

Specialties & licenses 1

Addresses

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.

• Haneen Aibak, MD

  • Internal Medicine Physician
  • Baltimore, MD
  • NPI 1932362076
  NPD Authorized official

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

{
    "created_epoch": "1594771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598486400000",
    "number": "1740898766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 STATE AVE NE # 1506",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985011131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2523 SIMON LN NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985063553",
            "telephone_number": "786-514-1221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4524 Intelco Loop SE",
            "address_purpose": "LOCATION",
            "city": "Lacey",
            "state": "WA",
            "postal_code": "985035941",
            "country_code": "US",
            "telephone_number": "786-514-1221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ABX MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-15",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-25",
        "status": "A",
        "authorized_official_last_name": "AIBAK",
        "authorized_official_first_name": "HANEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-514-1221",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Aug 27, 2020; 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.