John Edward Olenczak, MD

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

D0063781 Issued in MD

Practice address

1120A Professional Court
Hagerstown, MD 21740-5848

Phone

(301) 739-7900

Fax

(301) 739-7112

NPI assigned

Aug 30, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Chambersburg Anesthesia Associates

  • Pain Medicine (Anesthesiology) Physician
  • Chambersburg, PA
  • NPI 1992798516
  NPD (past)
• Montclair Anesthesia Associates, P.C.

  • Anesthesiology Physician
  • Montclair, NJ
  • NPI 1841245628
  NPD (past)
• Summit Anesthesia Associates PA

  • Anesthesiology Physician
  • Summit, NJ
  • NPI 1033198304
  NPD (past)

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279238400000",
    "number": "1386637858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120A PROFESSIONAL CT",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217405852",
            "telephone_number": "301-739-7900",
            "fax_number": "301-739-7112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120A PROFESSIONAL COURT",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217405848",
            "telephone_number": "301-739-7900",
            "fax_number": "301-739-7112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLENCZAK",
        "first_name": "JOHN",
        "middle_name": "EDWARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2010-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MD035098E",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "PA",
            "license": "MD035098E",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MD",
            "license": "D0063781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5700680",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Francesca Ijeoma Okoye, MD-PHD
• Okechukwu C Okoye
• Obafemi Okuwobi, MD
• Tosin Oladimeji
• Kimberly Anne Olchewsky, PA-C
• Luckricia Olivacce, PA
• Emily E Oliver, PT
• Anuoluwapo T Olofinlua
• Prince Oluwadimu
• Erin Oman, CRNP

• Pain Medicine (Anesthesiology) Physician in Hagerstown, MD
• Providers in Hagerstown, MD by specialty
• Pain Medicine (Anesthesiology) Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2010; 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.