Raymond James Olkin, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

0103000250 Issued in VA

Practice address

10721 Main St
Ste 103, Fairfax Medical Center
Fairfax, VA 22030-6914

Phone

(703) 273-3622

Fax

(703) 273-0313

NPI assigned

Jun 28, 2005

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 1970

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fairfax Foot and Ankle Center PCGroup PAC ID 9234197757, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fairfax Foot and Ankle Center, P.C.

  • Podiatrist
  • Fairfax, VA
  • NPI 1750452694

  DC

  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386641959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10721 MAIN ST",
            "address_2": "STE 103, FAIRFAX MEDICAL CENTER",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306914",
            "telephone_number": "703-273-3622",
            "fax_number": "703-273-0313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10721 MAIN ST",
            "address_2": "STE 103, FAIRFAX MEDICAL CENTER",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306914",
            "telephone_number": "703-273-3622",
            "fax_number": "703-273-0313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLKIN",
        "first_name": "RAYMOND",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "VA",
            "license": "0103000250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009303791",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaqueline Oliveira Baroni, LMHC, LPC
• Emily Oliver
• Kathryn Oliver, FNP-BC
• Patrick J Oliverio, MD
• Emily Olivon
• Mary Anne Olsen
• Johanna Elizabeth Olson
• Fola Oluwehinmi, MD
• Danielle Omar, RD
• Suhaila Omar

• Podiatrist in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Podiatrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• 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.

Verify at the official NPI Registry.