Kerry Olenick, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

527 Logwood Ave
San Antonio, TX 78221-1738

Phone

(210) 588-6774

Fax

(210) 588-6305

NPI assigned

Sep 15, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1410739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429488000000",
    "number": "1326449869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 LOGWOOD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78221",
            "telephone_number": "210-588-6774",
            "fax_number": "210-588-6305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 LOGWOOD AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782211738",
            "telephone_number": "210-588-6774",
            "fax_number": "210-588-6305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLENICK",
        "first_name": "KERRY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-15",
        "last_updated": "2015-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Kaye Oldham, LPC
• Alexander S Olea, DDS
• Joseph S Olea, D.D.S.
• Maseo Olearnick
• Elliot Olenchek, DPM
• Alexandra Olfati
• Olga B. Vasquez Dba One for Autism
• Olga Joukovski MD, PA
• Andrew Olguin, APRN-CNP
• Christie Olguin, M.A. CCC/SLP

• Medical Physician Assistant in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2015; 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.