Active NPI
Ouilikon Medical Associates, P.C.
- Internal Medicine Physician
- Reinholds, PA
National Provider Identifier
1336712082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- OUILIKON MEDICAL ASSOCIATES, P.C.
- Practice address
- 16 N Village Cir
Reinholds, PA 17569-9320 - Phone
- (717) 484-5140
- Fax
- (717) 484-5143
- NPI assigned
- Jul 21, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Neva Andrea Ouilikon, MD
- Title
- Owner
- Phone
- (717) 484-5140
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
16 N Village Cir
Reinholds, PA 17569-9320
Mailing address
16 N Village Cir
Reinholds, PA 17569-9320
Phone (717) 484-5140
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210804000843 | PA | Part B Supplier - Clinic/Group Practice | 6103220793 |
Receives reassigned benefits from 1 practitioner Practice locations: Reinholds, PA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D2241019 | Ouilikon Medical Associates, PC | Certificate of waiver | Oct 24, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Reinholds, PA
- NPI 1336154533
Internal Medicine, PA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626825600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1626825600000",
"number": "1336712082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 N VILLAGE CIR",
"city": "REINHOLDS",
"state": "PA",
"postal_code": "175699320",
"telephone_number": "717-484-5140",
"fax_number": "717-484-5143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 N VILLAGE CIR",
"city": "REINHOLDS",
"state": "PA",
"postal_code": "175699320",
"telephone_number": "717-484-5140",
"fax_number": "717-484-5143"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OUILIKON MEDICAL ASSOCIATES, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2021-07-21",
"last_updated": "2021-07-21",
"certification_date": "2021-07-21",
"status": "A",
"authorized_official_last_name": "OUILIKON",
"authorized_official_first_name": "NEVA",
"authorized_official_middle_name": "ANDREA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "717-484-5140",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Reinholds, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.