S Scott Olexy, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

0110002649 Issued in VA

Practice address

1636 Regulus Ave
Virginia Beach, VA 23461-2200

Phone

(757) 893-2015

NPI assigned

Feb 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Stanley Scott Olexy Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236729600000",
    "number": "1235101536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1636 REGULUS AVE",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234612200",
            "telephone_number": "757-893-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1636 REGULUS AVE",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234612200",
            "telephone_number": "757-893-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLEXY",
        "first_name": "S",
        "middle_name": "SCOTT",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2009-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9103313",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "VA",
            "license": "0110002649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "292202900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STANLEY",
            "last_name": "OLEXY",
            "middle_name": "SCOTT",
            "credential": "PA-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Wendy Robin Old, FNP
• Stephanie Cole Oldfield, FNP
• Francine Olds, M.D.
• Joshua Olechnowski
• Eveleen M Oleinik, MD
• Erica Oliphant
• Leonardo Martin Oliva, D.O.
• Maria Teresa Olivas, RN
• Olive Tree Counseling and Mediation
• Michele B Olive, LCSW, CSOTP

• Surgical Physician Assistant in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Surgical Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2009; 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.