Olivia R King, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

MA064234 Issued in PA

Practice address

100 Trich Dr Ste 2
Washington, PA 15301-5990

Phone

(724) 225-8657

NPI assigned

Nov 29, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Orthopaedic and Rehabilitation LLCGroup PAC ID 5890866735, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Advanced Surgical Hospital Hospital, Washington, PA, CCN 390323

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: oking@aor1317.srs-direct.com

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.

• Advanced Orthopaedic and Rehabilitation LLC

  • Orthopaedic Surgery Physician
  • Washington, PA
  • NPI 1134386246
  Medicare reassignment Care Compare group

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

• Advanced Surgical Hospital LLC

  • General Acute Care Hospital
  • Washington, PA
  • NPI 1528398534
  Care Compare affiliation

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

{
    "created_epoch": "1669680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1487364774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 TRICH DR STE 2",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153015990",
            "telephone_number": "724-225-8657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 TRICH DR STE 2",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153015990",
            "telephone_number": "724-225-8657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "OLIVIA",
        "middle_name": "R",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-29",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "PA",
            "license": "MA064234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "oking@AOR1317.srs-direct.com",
            "affiliation": "N",
            "address_1": "100 Trich Dr Ste 2",
            "city": "Washington",
            "state": "PA",
            "country_code": "US",
            "postal_code": "153015990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Keystone Pain Consultants & Interventional Spine Specialists PC
• Keystone Rehabilitation Systems Inc
• Dolores Cherry Khalouf, P.T.
• Shayla Kiczenski, LCSW
• Ashley Nicole Kidd, DMD
• Michelle Kirshen, MD
• Mallory Kist, DMD
• Dennis Kitsko, D.O.
• Sheri Marie Kitzmiller
• Benjamin Kleifgen

• Surgical Physician Assistant in Washington, PA
• Providers in Washington, PA by specialty
• Surgical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; 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.