Olympia Multi-Specialty Clinic Ambulatory Procedures CNTR PLLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

OLYMPIA MULTI-SPECIALTY CLINIC AMBULATORY PROCEDURES CNTR PLLC

Practice address

3920 Capitol Mall Dr SW
Suite 300
Olympia, WA 98502-8700

Phone

(360) 704-3401

Fax

(360) 754-0298

NPI assigned

Aug 17, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Marshall Edward McCabe III, M.D.

Title

Medical Director

Phone

(360) 704-3401

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Listed as

Olympia Multi Specialty Clinic Ambulatory Procedures CNTR PLLCCCN 50C0001128

Medicare certification status

ActiveFrom the Provider of Services file

Locations

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507766400000",
    "number": "1821101197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 BLACK HILLS LN SW STE A",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985028144",
            "telephone_number": "360-704-3401",
            "fax_number": "360-754-1783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 CAPITOL MALL DR SW",
            "address_2": "SUITE 300",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985028700",
            "telephone_number": "360-704-3401",
            "fax_number": "360-754-0298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLYMPIA MULTI-SPECIALTY CLINIC AMBULATORY PROCEDURES CNTR PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2017-10-12",
        "status": "A",
        "authorized_official_last_name": "MCCABE",
        "authorized_official_first_name": "MARSHALL",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "360-704-3401",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "FX00057092",
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olympia Health Care Services
• Olympia Health Inc
• Olympia Imaging Center
• Olympia Internal Medicine Assoc.,LLC
• Olympia Multi Specialty Clinic
• Olympia Mutual Aid Partners
• Olympia Neurology, PLLC
• Olympia Neurology, PLLC
• Olympia Neuropsychology
• Olympia Obstetrics & Gynecology PLLC

• Ambulatory Surgical Clinic/Center in Olympia, WA
• Providers in Olympia, WA by specialty
• Ambulatory Surgical Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.