Alissa Beth Olsen Thieke, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

0101274881 Issued in VA

Practice address

825 Fairfax Ave Ste 310
Norfolk, VA 23507-1914

Phone

(757) 446-7979

Fax

(757) 446-8907

NPI assigned

Mar 23, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Alissa Beth Olsen Former name

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Obhg Virginia, LLC

  • Obstetrics & Gynecology Physician
  • Midlothian, VA
  • NPI 1972807394
  Medicare reassignment NPD
• Osu GYN & OB Consultants LLC

  • Obstetrics & Gynecology Physician
  • Columbus, OH
  • NPI 1073552493
  NPD (past)

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

{
    "created_epoch": "1521763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652140800000",
    "number": "1275037210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 FAIRFAX AVE STE 310",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235071914",
            "telephone_number": "757-446-7979",
            "fax_number": "757-446-8907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 FAIRFAX AVE STE 310",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235071914",
            "telephone_number": "757-446-7979",
            "fax_number": "757-446-8907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIEKE",
        "first_name": "ALISSA",
        "middle_name": "BETH OLSEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-23",
        "last_updated": "2022-05-10",
        "certification_date": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101274881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALISSA",
            "last_name": "OLSEN",
            "middle_name": "BETH",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Therapiworks Corporation
• Therapy Works, LLC
• Alexis Margaret-Eleanor Theut
• Samantha Theverapperuma, BCABA
• Kyi San Thi, MBBS
• Mira Beth Thigpen
• Linda Thimons
• Syed Ismail M Thiwan Syed, MD
• Roshana Elaine Thom, LCSW,MSW
• Thomas a Natchus Pharmacist

• Obstetrics & Gynecology Physician in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Obstetrics & Gynecology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.