Individual provider Active NPI

Asaf Olshinka, M.D

  • Plastic Surgery Physician
  • Houston, TX
National Provider Identifier
1104286616
Registry record updated Dec 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
35287 Issued in ZZ
Practice address
6701 Fannin St Suite 610
Plastic Surgery
Houston, TX 77030
Phone
(713) 469-8494
NPI assigned
Feb 25, 2016
Reactivated
Nov 23, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 35287 ZZ Primary

Addresses

Primary practice location

6701 Fannin St Suite 610
Plastic Surgery
Houston, TX 77030

Mailing address

5526 Jackwood St
Houston, TX 77096
Phone (713) 469-8494

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35287ZZMDPlastic Surgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1456358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481155200000",
    "number": "1104286616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5526 JACKWOOD ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77096",
            "telephone_number": "713-469-8494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 FANNIN ST SUITE 610",
            "address_2": "PLASTIC SURGERY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77030",
            "telephone_number": "713-469-8494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSHINKA",
        "first_name": "ASAF",
        "name_prefix": "Mr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-25",
        "last_updated": "2016-12-08",
        "deactivation_date": "2016-10-21",
        "reactivation_date": "2016-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "ZZ",
            "license": "35287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2016; 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.