Active NPI
Olympia Cardiac Surgery, Inc., P.S.
- Specialist
- Olympia, WA
National Provider Identifier
1780726414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- OLYMPIA CARDIAC SURGERY, INC., P.S.
- Practice address
- 525 Lilly Rd NE
Suite 200
Olympia, WA 98506-5101 - Phone
- (360) 493-4510
- Fax
- (360) 493-7759
- NPI assigned
- Feb 12, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Donna Dickinson
- Title
- Office Manager
- Phone
- (360) 493-4510
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
525 Lilly Rd NE
Suite 200
Olympia, WA 98506-5101
Mailing address
525 Lilly Rd NE
Suite 200
Olympia, WA 98506-5101
Phone (360) 493-4510
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7059553 | Medicaid | WA |
National Provider Directory
National Provider DirectoryLocations
525 Lilly Rd NE
Ste 200
Olympia, WA 98506
Phone (360) 493-4510
525 Lilly Rd NE
#200
Olympia, WA 98506
Phone (360) 493-4510
805 E 2nd St
Casper, WY 82601
Phone (307) 237-2300
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Joplin, MO
- NPI 1982607529
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Casper, WY
- NPI 1366445926
-
- Surgical Physician Assistant
- Casper, WY
- NPI 1912993015
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1192579200000",
"number": "1780726414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 LILLY RD NE",
"address_2": "SUITE 200",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985065101",
"telephone_number": "360-493-4510",
"fax_number": "360-493-7759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 LILLY RD NE",
"address_2": "SUITE 200",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985065101",
"telephone_number": "360-493-4510",
"fax_number": "360-493-7759"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OLYMPIA CARDIAC SURGERY, INC., P.S.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-12",
"last_updated": "2007-10-17",
"status": "A",
"authorized_official_last_name": "DICKINSON",
"authorized_official_first_name": "DONNA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "360-493-4510"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7059553",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Olympia, WA
- Leigh Anne Olszewski, M.S.
- Oly Family Chiropractic, Inc. (Oly Family Chiropractic)
- Oly Orthodontics
- Olympia Anesthesia Associates, PC
- Olympia Arthritis & Rehabilitation Clinic Inc PS
- Olympia Center for DBT, LLC
- Olympia Chiropractic Center PS
- Olympia Emergency Care Physicians PLLC
- Olympia Emergency Services, PLLC
- Olympia Eye Clinic PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.