Heart Clinic of Tacoma

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

HEART CLINIC OF TACOMA

Practice address

120 State Ave NE #122
Olympia, WA 98501

Phone

(253) 279-3487

NPI assigned

Mar 2, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Dennis Charles Koukol, M.D.

Title

President

Phone

(253) 279-3487

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1646179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646179200000",
    "number": "1952057770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 STATE AVE NE #122",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "98501",
            "telephone_number": "253-279-3487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 STATE AVE NE #122",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "98501",
            "telephone_number": "253-279-3487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART CLINIC OF TACOMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-02",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A",
        "authorized_official_last_name": "KOUKOL",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "253-279-3487",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Healthy Options Counseling Services
• Nicole Danielle Healy-Burt, LMP
• Darien Heap, M.D.
• Hearing & Communication Partners, Inc. (Complete Hearing and Balance)
• Hearing Healthcare Center, Inc.
• Heather L Tramel Arnp LLC
• Thomas W. Hecht, MD
• Heckler Integrative Psychiatric Care (The Center of Mindful Healing)
• Amy Lorraine Heckler, DNP, PMHNP-BC
• Richard Duane Hehn, OD

• Cardiovascular Disease Physician in Olympia, WA
• Providers in Olympia, WA by specialty
• Cardiovascular Disease Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; 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.