Frank J Oktavec, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

000058 Issued in GA

Practice address

231 Highway 515
Ste 5
Blairsville, GA 30512

Phone

(706) 745-8790

Fax

(706) 745-8842

NPI assigned

Apr 20, 2006

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290988800000",
    "number": "1508822438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "294 HIGHWAY 515 W UNIT L",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305123662",
            "telephone_number": "706-745-8790",
            "fax_number": "706-745-8842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 HIGHWAY 515",
            "address_2": "STE 5",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "30512",
            "telephone_number": "706-745-8790",
            "fax_number": "706-745-8842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKTAVEC",
        "first_name": "FRANK",
        "middle_name": "J",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2010-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "000058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100001784A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• North Georgia Senior Care, LLC
• Northeast Georgia Dermatology, PC
• Northwest Georgia Oncology Centers
• NSH Cancer Institute Professional Services G LLC
• Jennifer Suzanne Lacey Nunn, MD
• Sarah Elizabeth Olesen, M.S., CCC-SLP
• Nancy Morris Olexick, LPC
• Laura Stewart Ors
• Rolando Ors III, DPT
• Christine Owen

• Medical Physician Assistant in Blairsville, GA
• Providers in Blairsville, GA by specialty
• Medical Physician Assistant in Georgia

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