Individual provider Active NPI

Olivia Leigh-Quach Schenck, M.D.

  • Dermatology Physician
  • McLean, VA
National Provider Identifier
1295197309
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
0101269058 Issued in VA
Practice address
6711 Whittier Ave Ste 101
MC Lean, VA 22101-4540
Phone
(703) 992-9211
Fax
(833) 550-1728
NPI assigned
Mar 28, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 0101269058 VA Primary

Addresses

Primary practice location

6711 Whittier Ave Ste 101
MC Lean, VA 22101-4540

Mailing address

6711 Whittier Ave Ste 101
MC Lean, VA 22101-4540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200904000461 VA Practitioner - Dermatology 2567741291 Reassigns benefits to 1 organization
I20230609000066 DC Practitioner - Dermatology 2567741291 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Virginia School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
District Dermatology PLLCGroup PAC ID 9537420146, 7 clinicians

Practice addresses (Care Compare)

6711 Whittier Ave
Suite 101
MC Lean, VA 22101-4540
Phone (703) 992-9211

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision17
Removal of skin lesions1043
Removal or shaving of skin growth56
Skin biopsy189

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101269058VAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Virginia Physicians Group CurrentSince Aug 26, 2020 Accepting new patients
District Dermatology, PLLC Dermatology CurrentSince Apr 24, 2023 Accepting new patients

Locations

1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500

6711 Whittier Ave
Ste 101
McLean, VA 22101
Phone (703) 356-5722

1951 Kidwell Dr
Ste 110
Vienna, VA 22182

2014 Goose Creek Rd
Ste 116
Waynesboro, VA 22980
Phone (540) 949-6934

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ez_00102

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1459123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1295197309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6711 WHITTIER AVE STE 101",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221014540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6711 WHITTIER AVE STE 101",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221014540",
            "telephone_number": "703-992-9211",
            "fax_number": "833-550-1728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHENCK",
        "first_name": "OLIVIA",
        "middle_name": "LEIGH-QUACH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-28",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0101269058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McLean, VA

Sources for this page

Verify at the official NPI Registry.