| Olympia Family Medicine | |
|
3920 Capital Mall Dr Sw #200 Olympia WA 98502 | |
| (360) 596-4899 | |
| (360) 596-4889 |
| Full Name | Olympia Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 3920 Capital Mall Dr Sw #200, Olympia, Washington |
| Authorized Official Name and Position | William Glenn Robertson (CEO) |
| Authorized Official Contact | 2534031272 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Olympia Family Medicine P.o. Box 5299 Ms: 1313-5-pco Tacoma WA 98415-0299 Ph: () - | Olympia Family Medicine 3920 Capital Mall Dr Sw #200 Olympia WA 98502 Ph: (360) 596-4899 |
| NPI Number | 1629214283 |
|---|---|
| Provider Enumeration Date | 12/31/2008 |
| Last Update Date | 09/14/2022 |
| Medicare PECOS PAC ID | 3678639879 |
|---|---|
| Medicare Enrollment ID | O20090312000311 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629214283 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Diana E Velikova |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841295615 PECOS PAC ID: 0749182467 Enrollment ID: I20040123000140 |
| Provider Name | Hillary B Allen Kissick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851392765 PECOS PAC ID: 0446146088 Enrollment ID: I20040223000405 |
| Provider Name | Maria De Los Angeles Gutierrez Rivas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598817736 PECOS PAC ID: 4981662103 Enrollment ID: I20041220000987 |
| Provider Name | Evelyn R Sabroe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295800621 PECOS PAC ID: 6103827092 Enrollment ID: I20070119000187 |
| Provider Name | Thomas Alan Frazer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457461188 PECOS PAC ID: 4486752359 Enrollment ID: I20070711000571 |
| Provider Name | David Robert David |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598825994 PECOS PAC ID: 6406927383 Enrollment ID: I20080620000066 |
| Provider Name | Sara P Holt Knox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306002639 PECOS PAC ID: 8022174713 Enrollment ID: I20090304000576 |
| Provider Name | Kathryn Harshman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952537706 PECOS PAC ID: 1759435647 Enrollment ID: I20090811000721 |
| Provider Name | Nancy E Armstrong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528170776 PECOS PAC ID: 5799779492 Enrollment ID: I20100127000759 |
| Provider Name | Rebecca M Bodle-shingu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558362368 PECOS PAC ID: 4183713852 Enrollment ID: I20100204000255 |
| Provider Name | Shawna E Purcell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861683799 PECOS PAC ID: 7618002932 Enrollment ID: I20100311000861 |
| Provider Name | Susan L Dennie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851629992 PECOS PAC ID: 2365577301 Enrollment ID: I20100316001036 |
| Provider Name | Lynne Abigail Tan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881856680 PECOS PAC ID: 7719158377 Enrollment ID: I20110913000102 |
| Provider Name | Heidi L Sedra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568712776 PECOS PAC ID: 9739330408 Enrollment ID: I20121107000211 |
| Provider Name | Quoc T Phan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326261942 PECOS PAC ID: 0244318947 Enrollment ID: I20140822000792 |
| Provider Name | Jeewon Yang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275935066 PECOS PAC ID: 5991029274 Enrollment ID: I20150114001298 |
| Provider Name | John Dinh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538456280 PECOS PAC ID: 9335369628 Enrollment ID: I20150603000540 |
| Provider Name | Natallia F Tsesliukevich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790049070 PECOS PAC ID: 1355560129 Enrollment ID: I20150817002075 |
| Provider Name | Megan Colburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922482074 PECOS PAC ID: 6507174661 Enrollment ID: I20151009001140 |
| Provider Name | Dolly Kooi Lent |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619979598 PECOS PAC ID: 5092702456 Enrollment ID: I20170118002807 |
| Provider Name | Aneesa Sataur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659745867 PECOS PAC ID: 3274801972 Enrollment ID: I20170621003179 |
| Provider Name | Hope Umbel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124101555 PECOS PAC ID: 4688772338 Enrollment ID: I20170720003143 |
| Provider Name | Miwako Ohara-hsu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023451903 PECOS PAC ID: 7517231103 Enrollment ID: I20170920002608 |
| Provider Name | Monica M Hallak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942725155 PECOS PAC ID: 8325314792 Enrollment ID: I20171031000218 |
| Provider Name | Heidi Renee Swift |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730551862 PECOS PAC ID: 1850695263 Enrollment ID: I20180919000898 |
| Provider Name | Noeru Okamura |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588058200 PECOS PAC ID: 1153613443 Enrollment ID: I20181012000884 |
| Provider Name | Maria Socorro Miranda Gandara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366625717 PECOS PAC ID: 7315285905 Enrollment ID: I20190206000740 |
| Provider Name | Kathryn Elizabeth De Rose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053888529 PECOS PAC ID: 2769722495 Enrollment ID: I20190315002365 |
| Provider Name | Laura M Cottingham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063809440 PECOS PAC ID: 3476855586 Enrollment ID: I20200409001547 |
| Provider Name | Rachel Helena Armas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326207044 PECOS PAC ID: 4587050588 Enrollment ID: I20220330002646 |
| Provider Name | Lara Lynn Spirnak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043840333 PECOS PAC ID: 7810374618 Enrollment ID: I20220517001954 |
| Provider Name | Brittany Little |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588325617 PECOS PAC ID: 9830577873 Enrollment ID: I20220603001999 |
| Provider Name | Rebecca Moore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629539630 PECOS PAC ID: 7416282991 Enrollment ID: I20220809002717 |
| Provider Name | Olivia Finn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801529128 PECOS PAC ID: 0941684674 Enrollment ID: I20220830002667 |
| Provider Name | Jonathan Jamito |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538712880 PECOS PAC ID: 8729319702 Enrollment ID: I20220831002299 |
| Provider Name | Mercedes Swiercek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780310342 PECOS PAC ID: 3971987454 Enrollment ID: I20220901000859 |
| Provider Name | Victoria Rose Henrikson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801419429 PECOS PAC ID: 3173909173 Enrollment ID: I20220928002185 |
| Provider Name | Stephen Doucet |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235635376 PECOS PAC ID: 9638577257 Enrollment ID: I20230217001198 |
| Provider Name | Kerry Gamble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376064410 PECOS PAC ID: 3476814047 Enrollment ID: I20230331001110 |
| Provider Name | Sarah Lukasik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811386709 PECOS PAC ID: 1254657729 Enrollment ID: I20230714000805 |
| Provider Name | Jenine Ann Laughead |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689301905 PECOS PAC ID: 8729440664 Enrollment ID: I20230809003415 |
| Provider Name | Jeffrey Tyler Kasnick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700583762 PECOS PAC ID: 7810342144 Enrollment ID: I20231006000642 |
| Provider Name | Andrea Crooks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194353516 PECOS PAC ID: 8729498316 Enrollment ID: I20231018001477 |
| Provider Name | Monicah Wangari Mwangi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073246930 PECOS PAC ID: 2668821562 Enrollment ID: I20231217000047 |
Nisqually Tribe Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4816 She Nah Num Dr Se, Olympia, WA 98513 Phone: 360-459-5312 Fax: 360-407-0860 | |
Olympia Family Medicine, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3622a Ensign Rd Ne, Olympia, WA 98506 Phone: 360-459-7282 | |
Providence St Peter Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 413 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-491-9480 | |
Northwest Vision Center, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1510 Cooper Point Rd Sw, Suite 110, Olympia, WA 98502 Phone: 360-489-0493 Fax: 360-943-9424 | |
Lacambra Services Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7205 Martin Way E, Suite A-69, Olympia, WA 98516 Phone: 206-403-7410 | |
Daniel T. Dugaw,d.o., P.s. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 405 Black Hills Ln Sw, Suite E, Olympia, WA 98502 Phone: 360-352-8781 Fax: 360-352-8837 | |
Olympia Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-923-7010 Fax: 360-923-7089 |