Olga Saprygina Forman, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9104884 Issued in FL

Practice address

7932 W Sand Lake Rd
Suite 202
Orlando, FL 32819-7263

Phone

(407) 846-7546

Fax

(321) 206-5419

NPI assigned

May 5, 2009

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

Medicare fee-for-service enrollment

Enrolled in FL

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, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Schweiger Dermatology Group PAGroup PAC ID 9234239757, 42 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: olga.forman@schweigerderm.emadirect.md

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.

• Schweiger Dermatology Group PA

  • Dermatology Physician
  • Leesburg, FL
  • NPI 1598843914
  Medicare reassignment Care Compare group
• Associates in Dermatology Inc

  • Specialist
  • Kissimmee, FL
  • NPI 1316960297
  Medicare reassignment
• Pathology Medical Laboratories

  • Clinical Medical Laboratory
  • Leesburg, FL
  • NPI 1003896853
  NPD (past)

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

{
    "created_epoch": "1241481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565654400000",
    "number": "1659505675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 690609",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328690609",
            "telephone_number": "407-846-7546",
            "fax_number": "321-206-5419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7932 W SAND LAKE RD",
            "address_2": "SUITE 202",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328197263",
            "telephone_number": "407-846-7546",
            "fax_number": "321-206-5419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORMAN",
        "first_name": "OLGA",
        "middle_name": "SAPRYGINA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-05",
        "last_updated": "2019-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9104884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camille Forester, BS
• Reza Forghani, M.D.
• Katherine M Forholt, APRN
• McCauley Ntsobeno Forlemu
• Jonathan L Forman, RPH
• Natasha Fornaris
• Afshin Forouzannia, MD
• Brett Wayne Forrest, OD
• Debbie Sheila Forrest, O.D.
• Emily Kristin Forrest, MD

• Physician Assistant in Orlando, FL
• Providers in Orlando, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; 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.