S SCOTT OLEXY (NPI# 1235101536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235101536 |
| Entity Type | Individual |
| Full Name | S SCOTT OLEXY |
| Other Name | STANLEY SCOTT OLEXY |
| Credential | PA-C |
| Practice Address |
1636 Regulus Ave Virginia Beach VA 23461-2200 |
| Practice Telephone | 7578932015 |
| Mailing Telephone | 7578932015 |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2009-03-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | PA9103313 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
0110002649 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 292202900 | 05 |
| Street Address |
1636 REGULUS AVE |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23461-2200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275157745 | Jonathon Daniel Ratkus | Military Health Care Provider | 1636 Regulus Ave, Virginia Beach, VA 23461-2200 | 2020-06-01 |
| 1447677398 | Hoa Tan Tran | Military Health Care Provider | 1636 Regulus Ave, Virginia Beach, VA 23461-2200 | 2014-03-27 |
| 1548506967 | Raymond Suhr | Military Health Care Provider | 1636 Regulus Ave, Virginia Beach, VA 23461-2200 | 2012-12-13 |
| 1104178672 | William Keith Dow | Military Health Care Provider | 1636 Regulus Ave, Virginia Beach, VA 23461-2200 | 2012-10-09 |
| 1174874168 | Jordan William Ward | Military Health Care Provider | 1636 Regulus Ave, Attn: Noom, Virginia Beach, VA 23461-2200 | 2012-10-01 |
| 1740596048 | Robert C St.pierre | Military Health Care Provider | 1636 Regulus Ave, Virginia Beach, VA 23461-2200 | 2010-08-24 |
| 1962724724 | John D Dempsey | Military Health Care Provider | 1636 Regulus Ave, Virginia Beach, VA 23461-2200 | 2010-02-22 |
| 1922339928 | James Paul White Jr. | Physician Assistant | 1636 Regulus Ave, N00m, Virginia Beach, VA 23461-2200 | 2010-01-15 |
| 1710216569 | Michael Dean Evans | Physician Assistant | 1636 Regulus Ave, Virginia Beach, VA 23461-2200 | 2009-12-08 |
| 1528209160 | William Joseph Harris Jr. | Military Health Care Provider | 1636 Regulus Ave, Nswdg (n00m), Virginia Beach, VA 23461 | 2009-03-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568841880 | Robert Jadgchew | Specialist/Technologist | 427 Polaris Avenue, Bldg 586, Virginia Beach, VA 23461 | 2015-05-19 |
| 1790925188 | Matthew E Gaffigan | Emergency Medicine | 472 Polaris Blvd, Bldg 586, Virginia Beach, VA 23461 | 2009-02-25 |
| 1740389865 | Naval Medical Center Portsmouth | Military/U.S. Coast Guard Pharmacy | 1185 Terrier Ave, Ste 100, Virginia Beach, VA 23461 | 2006-09-22 |
| 1629090444 | Michele B Olive | Social Worker | 472 Polaris St, Bldg 586, Virginia Beach, VA 23461-1912 | 2006-07-24 |
| 1386019131 | Joseph Biron | Psychologist | 472 Polaris St, Bldg 586, Virginia Beach, VA 23461-1912 | 2015-12-04 |
| 1407097215 | Steven Brian Bennett | Physician Assistant | 472 Polaris St Bldg 586, Virginia Beach, VA 23461-1935 | 2009-03-09 |
| 1801370382 | Mathieu Cote | Military Health Care Provider | 472 Polaris St Bldg 586, Virginia Beach, VA 23461-1935 | 2018-09-20 |
| 1366966962 | Owen Wilhelm Horton | Military Health Care Provider | 472 Polaris St Bldg 586, Virginia Beach, VA 23461-1935 | 2017-07-26 |
| 1205356433 | Nicholas Aaron Kilgore | Military Health Care Provider | 472 Polaris St Bldg 586, Virginia Beach, VA 23461-1935 | 2017-06-20 |
| 1659837805 | Yaslin Filpo | Dental Hygienist | 1885 Terrier Ave, Virginia Beach, VA 23461-2203 | 2019-02-13 |
| Find all providers in zip 23461 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588915425 | Edward S Wilson | Physician Assistant | 604 Bishop Dr, Virginia Beach, VA 23455 | 2012-10-01 |
| 1811126923 | Derik Thompson | Physician Assistant | 2085 Lynnhaven Pkwy Ste 106-308, Virginia Beach, VA 23456-1497 | 2009-07-09 |
| 1912195314 | David John Pullen | Physician Assistant | 5557 Princess Anne Rd, Virginia Beach, VA 23462-3344 | 2007-10-10 |
| 1275696569 | Physician Assistant Services Inc | Physician Assistant | 2132 Creeks Edge Dr, Virginia Beach, VA 23451-6804 | 2006-12-18 |
| 1356456677 | Deborah D Redmond | Physician Assistant | 2233 Elder Rd, Virginia Beach, VA 23451 | 2006-08-19 |
| 1861969164 | Coastal Medsurg, Inc. | Physician Assistant | 1700 Will O Wisp Dr, Virginia Beach, VA 23454-3164 | 2018-10-25 |
| 1790166692 | Melody Lynne Osborne | Physician Assistant | 2075 Glenn Mitchell Dr, Suite 512, Virginia Beach, VA 23456-0179 | 2015-06-16 |
| 1750612701 | Nicolle Lin Stopa | Physician Assistant | 1060 First Colonial Rd, Virginia Beach, VA 23454-3002 | 2010-01-14 |
| 1558319061 | John Philip Conza | Physician Assistant | 1550 Tomcat Blvd, Branch Health Clinic Oceana, Virginia Beach, VA 23464 | 2006-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962038042 | Emma Alexandra Rouse | Physician Assistant | 2712 Hatmark St, Vienna, VA 22181-6054 | 2020-03-20 |
| 1861059461 | Daniel P Sherman | Physician Assistant | 43165 Thistledown Ter Apt 241, Broadlands, VA 20148-4075 | 2019-05-20 |
| 1184289753 | Vicenta Hanh-phuoc Tran | Physician Assistant | 7611 Trammell Rd, Annandale, VA 22003-1442 | 2019-05-08 |
| 1649833021 | Karlie Diruzza | Physician Assistant | 2900 Lamb Cir # L760, Christiansburg, VA 24073-6344 | 2019-04-21 |
| 1164983599 | Bradley Pretzer | Physician Assistant | 5115 Cliffhaven Dr, Annandale, VA 22003-4348 | 2019-03-28 |
| 1346757416 | Hinda Yasmin Mezaache | Physician Assistant | 1101 Sam Perry Blvd Ste 219, Fredericksburg, VA 22401-4465 | 2018-01-10 |
| 1265974851 | Gerard Surgical Services, LLC | Physician Assistant | 12220 Chattanooga Plz Ste 121, Midlothian, VA 23112-4865 | 2016-11-14 |
| 1417301607 | Jose Gustavo Espino | Physician Assistant | 6866 Deer Run Dr, Alexandria, VA 22306-1124 | 2016-04-14 |
| 1477915098 | Kelly Egan Weaver | Physician Assistant | 1201 Broad Rock Blvd Richmond Va 23224, Richmond, VA 23249-4915 | 2016-03-23 |
| 1871976522 | Hall Surgical Assistance, LLC | Physician Assistant | 10332 Main St, Suite #344, Fairfax, VA 22030-2410 | 2015-06-30 |
| Find all providers with the same taxonomy | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23461 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.