NPIMap

Organization Active NPI

Bina Souri MD PS

  • Obstetrics & Gynecology Physician
  • Olympia, WA
National Provider Identifier
1962750588
Registry record updated May 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD00028023 Issued in WA
Legal business name
BINA SOURI MD PS
Practice address
403 Black Hills LN SW
Suite C
Olympia, WA 98502-8600
Phone
(360) 956-1880
NPI assigned
Aug 29, 2012
Last updated
May 21, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2018

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

Authorized official

Name
Bina C Souri, MDNPI 1215079850
Title
Owner/Physician
Phone
(360) 956-1880

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
Obstetrics & Gynecology Physician 207V00000X MD00028023 WA Primary

Addresses

Primary practice location

403 Black Hills LN SW
Suite C
Olympia, WA 98502-8600

Mailing address

403 Black Hills LN SW
Suite C
Olympia, WA 98502-8600
Phone (360) 956-1880

Other identifiers 1

IdentifierTypeStateIssuer
1085190MedicaidWA

National Provider Directory

National Provider Directory

Locations

403 Black Hills Ln SW
Ste C
Olympia, WA 98502
Phone (360) 956-1880

313 Yelm Ave W
Yelm, WA 98597
Phone (360) 458-4100

Practitioners & affiliated clinicians

Practitioners 9

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": "1346198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526860800000",
    "number": "1962750588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 BLACK HILLS LN SW",
            "address_2": "SUITE C",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985028600",
            "telephone_number": "360-956-1880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 BLACK HILLS LN SW",
            "address_2": "SUITE C",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985028600",
            "telephone_number": "360-956-1880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BINA SOURI MD PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-29",
        "last_updated": "2018-05-21",
        "status": "A",
        "authorized_official_last_name": "SOURI",
        "authorized_official_first_name": "BINA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "360-956-1880",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WA",
            "license": "MD00028023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1085190",
            "state": "WA"
        }
    ],
    "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 May 21, 2018; 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.