Individual provider Active NPI

Olga Jigovskaia, PA-C

  • Physician Assistant
  • Irving, TX
National Provider Identifier
1588069892
Registry record updated Nov 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA08480 Issued in TX
Practice address
3626 N Macarthur Blvd Ste 200
Irving, TX 75062-3643
Phone
(972) 256-2028
NPI assigned
Oct 29, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA08480 TX Primary

Addresses

Primary practice location

3626 N Macarthur Blvd Ste 200
Irving, TX 75062-3643

Mailing address

1441 N. Beckley Ave.
Attn DMPN
Dallas, TX 75203
Phone (214) 947-4523

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20151024000054 TX Practitioner - Physician Assistant 1254640675 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Medhealth CurrentSince Oct 3, 2017 Accepting new patients
Skilled Facility Health Care Solutions Inc CurrentSince Jun 5, 2017 Accepting new patients

Locations (25 of 74)

3746 Foothill Blvd
La Crescenta, CA 91214
Phone (323) 574-0387

3747 Foothill Blvd
#B140
La Crescenta, CA 91214
Phone 3104455999255

101 N Parkway Dr
Alvarado, TX 76009
Phone (817) 228-4855

6909 Burnet Ln
Austin, TX 78757
Phone (216) 570-5674

1700 Onion Creek Pkwy
Austin, TX 78748
Phone (512) 291-4900

5301 Duval Rd
Austin, TX 78727
Phone (512) 326-1141

12021 Metric Blvd
Austin, TX 78758
Phone (512) 228-3300

412 N Dalton St
Bartlett, TX 76511
Phone (254) 527-3371

503 Old Austin Hwy
Bastrop, TX 78602
Phone (512) 321-6220

430 Old Austin Hwy
Bastrop, TX 78602
Phone (512) 262-0821

1960 Bedford Rd
Bedford, TX 76021
Phone (817) 283-4771

2600 Parkview Ln
Bedford, TX 76022
Phone (817) 354-6556

1000 McKinley St
Benbrook, TX 76126
Phone (817) 249-0020

2817 Kent St
Bryan, TX 77802
Phone (979) 776-7521

2202 N Travis Ave
Cameron, TX 76520
Phone (254) 697-3939

1623 W New Hope Dr
Cedar Park, TX 78613
Phone (512) 259-3999

1500 Cottonwood Creek Trl
Cedar Park, TX 78613
Phone (512) 259-4259

903 E Houston St
Cleveland, TX 77327
Phone (281) 354-0029

2019 N Frazier St
Conroe, TX 77301
Phone (936) 441-2120

8017 W Virginia Dr
Dallas, TX 75237
Phone (972) 709-1112

8615 Lullwater Dr
Dallas, TX 75238
Phone (214) 221-0444

2101 Cedar Springs Rd
Ste 1050
Dallas, TX 75201
Phone (318) 548-9748

2525 Centerville Rd
Dallas, TX 75228
Phone (214) 327-4503

4315 Hopkins Ave
Dallas, TX 75209
Phone (214) 358-3131

1441 N Beckley Ave
Dallas, TX 75203
Phone (214) 712-2429

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1414540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509580800000",
    "number": "1588069892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 N. BECKLEY AVE.",
            "address_2": "ATTN DMPN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75203",
            "telephone_number": "214-947-4523",
            "fax_number": "214-947-8520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3626 N MACARTHUR BLVD STE 200",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750623643",
            "telephone_number": "972-256-2028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIGOVSKAIA",
        "first_name": "OLGA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-29",
        "last_updated": "2017-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA08480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.