NORTHWEST SURGICAL GROUP PC
NPI 1114957875
Surgery in Olympia, WA

Q: What is Northwest Surgical Group PC's NPI number?

The NPI number for Northwest Surgical Group PC is 1114957875. It was assigned to this organization in the NPPES registry on July 5, 2006.

Q: What is Northwest Surgical Group PC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since July 05, 2006

3920 CAPITOL MALL DR SW, SUITE 201, OLYMPIA, WA 98502(360) 754-1029(390) 754-7885 Get Directions Write a Review

NPPES record last updated: May 31, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Northwest Surgical Group Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHWEST SURGICAL GROUP PC (NPI 1114957875) is a healthcare organization registered as a surgery in Olympia, Washington and active in the NPI registry since July 2006. The organization lists William Clarence Williard, Physician, as its authorized official.

NPPES Registry Identity

NPI1114957875

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NameNORTHWEST SURGICAL GROUP PC

Location Address3920 CAPITOL MALL DR SW, SUITE 201Olympia, WA 98502-8700

Mailing Address3920 Capitol Mall Dr Sw, Suite 201Olympia, WA 98502-8700 · (360) 754-1029 · Fax (390) 754-7885

Phone(360) 754-1029

Fax(390) 754-7885

Organization SubpartNo

Authorized OfficialWilliam Clarence WilliardPhysician · (360) 754-1029

Enumeration DateJuly 5, 2006

Last NPPES UpdateMay 31, 2012

✔ NPI 1114957875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in WA · MD00029497

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Also ListedSpecialistTaxonomy 174400000X · License 601009261 (WA)

3920 CAPITOL MALL DR SW, Olympia, WA 98502

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Other Identifiers 3

Medicare ID-Type UnspecifiedAB21323WA

Medicare UPINX59447WA

Medicaid7105182WA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RESPIRATORY PHYSICIANS OF SOUTHWEST WASHINGTON

Specialist

3920 CAPITOL MALL DR SW, STE 304
OLYMPIA, WA 98502

Thurston County (360) 754-1739

MS. LAUREL A DICKASON MD

Obstetrics & Gynecology

3920 CAPITOL MALL DR SW, STE 400
OLYMPIA, WA 98502

Thurston County (360) 705-1259

ADVANCED BREAST TECHONOLOGY

Specialist

3920 CAPITOL MALL DR SW, #100
OLYMPIA, WA 98502

Thurston County (360) 292-7440

MR. RICHARD NORMAN HENEGAN MD

Obstetrics & Gynecology

3920 CAPITOL MALL DR SW, SUITE 400
OLYMPIA, WA 98502

Thurston County (360) 705-1259

DR. DAVID MICHAEL DEITZ MD

Surgery

3920 CAPITOL MALL DR SW, SUITE 302
OLYMPIA, WA 98502

Thurston County (360) 754-3507

LABORATORY CORPORATION OF AMERICA

Clinical Medical Laboratory

3920 CAPITOL MALL DR SW, SUITE 100
OLYMPIA, WA 98502

Thurston County (360) 753-4700

MS. DEBRA A JOHNSON MD

Obstetrics & Gynecology

3920 CAPITOL MALL DR SW, STE 400
OLYMPIA, WA 98502

Thurston County (360) 705-1259

WILLIAM CLARENCE WILLIARD MD

Surgery

3920 CAPITOL MALL DR SW, SUITE 201
OLYMPIA, WA 98502

Thurston County (360) 754-1029

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northwest Surgical Group PC's NPI number?

The NPI number for Northwest Surgical Group PC is 1114957875. It was assigned to this organization in the NPPES registry on July 5, 2006.

Where is Northwest Surgical Group PC located?

Northwest Surgical Group PC is located at 3920 Capitol Mall Dr SW Suite 201, Olympia, WA 98502. The listed phone number is (360) 754-1029.

What is Northwest Surgical Group PC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Northwest Surgical Group PC was last updated on May 31, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.