Individual provider Active NPI

Samantha Marie Olzeski, DO

  • Obstetrics & Gynecology Physician
  • Maysville, KY
National Provider Identifier
1396065207
Registry record updated Jul 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
03487 Issued in KY
Practice address
927 Kenton Station Dr
Maysville, KY 41056-9617
Phone
(606) 759-5331
Fax
(606) 759-5363
NPI assigned
Jun 3, 2010
Last updated
Jul 11, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X OT012643 PA
Obstetrics & Gynecology Physician 207V00000X 58-003878 OH
Obstetrics & Gynecology Physician 207V00000X 03487 KY Primary

Addresses

Primary practice location

927 Kenton Station Dr
Maysville, KY 41056-9617

Mailing address

PO Box 550
Vanceburg, KY 41179-0550
Phone (606) 796-3029

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20120821000484 KY Practitioner - Obstetrics/Gynecology 9739336116 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

432 16TH St
Ashland, KY 41101-7693
Phone (859) 509-5636

927 Kenton Station Dr
Maysville, KY 41056-9617
Phone (606) 759-5331

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
58-003878OHMDObstetrics & Gynecology Physician
OT012643PAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lewis County Primary Care Center, Inc. CurrentSince Jul 8, 2012 Accepting new patients
Lewis County Primary Care Center, Inc. CurrentSince Jul 8, 2012 Accepting new patients
Meadowview Regional Medical Center LLC Past Accepting new patients

Locations

432 16th St
Ashland, KY 41101
Phone (859) 509-5636

927 Kenton Station Dr
Maysville, KY 41056
Phone (606) 759-0433

Interoperability endpoints

  • Direct secure messaging: samantha.olzeski.1@13661.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1275523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341964800000",
    "number": "1396065207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 550",
            "city": "VANCEBURG",
            "state": "KY",
            "postal_code": "411790550",
            "telephone_number": "606-796-3029",
            "fax_number": "606-796-6221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 KENTON STATION DR",
            "city": "MAYSVILLE",
            "state": "KY",
            "postal_code": "410569617",
            "telephone_number": "606-759-5331",
            "fax_number": "606-759-5363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLZESKI",
        "first_name": "SAMANTHA",
        "middle_name": "MARIE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-03",
        "last_updated": "2012-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "OT012643",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "58-003878",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KY",
            "license": "03487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maysville, KY

Sources for this page

Verify at the official NPI Registry.