NPIMap

Organization Active NPI

Fred Griesman MD

  • Primary Care Clinic/Center
  • Olympia, WA
National Provider Identifier
1992101786
Registry record updated Nov 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
10481 Issued in WA
Legal business name
FRED GRIESMAN MD
Practice address
3940 Henderson Blvd SE
Olympia, WA 98501-4282
Phone
(360) 481-5771
NPI assigned
Nov 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2014

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

Authorized official

Name
Dr. Fred Griesman, M.D.
Title
Physician
Phone
(360) 481-5771

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 10481 WA Primary

Addresses

Primary practice location

3940 Henderson Blvd SE
Olympia, WA 98501-4282

Mailing address

3940 Henderson Blvd SE
Olympia, WA 98501-4282
Phone (360) 481-5771

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1415232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415232000000",
    "number": "1992101786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3940 HENDERSON BLVD SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985014282",
            "telephone_number": "360-481-5771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3940 HENDERSON BLVD SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985014282",
            "telephone_number": "360-481-5771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRED GRIESMAN MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-06",
        "last_updated": "2014-11-06",
        "status": "A",
        "authorized_official_last_name": "GRIESMAN",
        "authorized_official_first_name": "FRED",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "360-481-5771",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "WA",
            "license": "10481",
            "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 Nov 6, 2014; 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.