Organization Active NPI

South Sound Pulmonary Associates

  • Specialist
  • Olympia, WA
National Provider Identifier
1790768547
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
SOUTH SOUND PULMONARY ASSOCIATES
Practice address
500 Lilly Rd NE
Suite 201
Olympia, WA 98506-5197
Phone
(360) 413-8272
Fax
(360) 413-8878
NPI assigned
Nov 25, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Rex W Bolin, M.D.NPI 1831152750
Title
Managing Partner
Phone
(360) 413-8257

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

500 Lilly Rd NE
Suite 201
Olympia, WA 98506-5197

Mailing address

500 Lilly Rd NE
Suite 201
Olympia, WA 98506-5197
Phone (360) 413-8272

National Provider Directory

National Provider Directory

Locations

500 Lilly Rd NE
Ste 201
Olympia, WA 98506
Phone (360) 413-8272

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1132876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790768547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 LILLY RD NE",
            "address_2": "SUITE 201",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065197",
            "telephone_number": "360-413-8272",
            "fax_number": "360-413-8878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 LILLY RD NE",
            "address_2": "SUITE 201",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065197",
            "telephone_number": "360-413-8272",
            "fax_number": "360-413-8878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SOUND PULMONARY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOLIN",
        "authorized_official_first_name": "REX",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "360-413-8257",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "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 Aug 22, 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.