NPIMap

Organization Active NPI

Jeffrey F Olliffe, M.D.

  • Family Medicine Physician
  • Seattle, WA
National Provider Identifier
1770760746
Registry record updated Jan 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00023575 Issued in WA
Legal business name
JEFFREY F OLLIFFE, M.D.
Practice address
1120 Cherry St
Suite: 320
Seattle, WA 98104-2044
Phone
(206) 624-6104
NPI assigned
Jan 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2008

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

Authorized official

Name
Mark A McClarty
Title
Office Manager
Phone
(206) 624-1441

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X MD00023575 WA Primary

Addresses

Primary practice location

1120 Cherry St
Suite: 320
Seattle, WA 98104-2044

Mailing address

1120 Cherry St
Suite: 320
Seattle, WA 98104-2044
Phone (206) 624-6104

Other identifiers 4

IdentifierTypeStateIssuer
4079498OtherWAAETNA
57243OtherWAL&I
1019371MedicaidWA
OL5050OtherWAREGENCE BLUE SHIELD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1200960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200960000000",
    "number": "1770760746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 CHERRY ST",
            "address_2": "SUITE: 320",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981042044",
            "telephone_number": "206-624-6104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 CHERRY ST",
            "address_2": "SUITE: 320",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981042044",
            "telephone_number": "206-624-6104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY F OLLIFFE, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-22",
        "last_updated": "2008-01-22",
        "status": "A",
        "authorized_official_last_name": "MCCLARTY",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "206-624-1441"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00023575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4079498",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "57243",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1019371",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "OL5050",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; 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.