Individual provider Active NPI

Erik R. Olstad, PAC

  • Physician Assistant
  • Huntingdon Valley, PA
National Provider Identifier
1679756241
Registry record updated Jul 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA053282 Issued in PA
Practice address
1800 Byberry Rd
Suite 705
Huntingdon Valley, PA 19006-3518
Phone
(215) 947-5005
Fax
(215) 947-7590
NPI assigned
Dec 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2008

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 MA053282 PA Primary

Addresses

Primary practice location

1800 Byberry Rd
Suite 705
Huntingdon Valley, PA 19006-3518

Mailing address

1800 Byberry Rd
Suite 705
Huntingdon Valley, PA 19006-3518
Phone (215) 947-5005

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20071218000213 PA Practitioner - Physician Assistant 4385734029 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA053282PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care P.a. CurrentSince Dec 5, 2022 Accepting new patients
American Current Care P.a. CurrentSince Dec 5, 2022 Accepting new patients

Locations

1800 Byberry Rd
Ste 705
Huntingdon Vy, PA 19006
Phone (215) 947-5005

2010 Levick St
Philadelphia, PA 19149
Phone (215) 537-4755

15 Freeport Rd
Ste 100
Pittsburgh, PA 15215
Phone (412) 784-1551

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216339200000",
    "number": "1679756241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 BYBERRY RD",
            "address_2": "SUITE 705",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190063518",
            "telephone_number": "215-947-5005",
            "fax_number": "215-947-7590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 BYBERRY RD",
            "address_2": "SUITE 705",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190063518",
            "telephone_number": "215-947-5005",
            "fax_number": "215-947-7590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSTAD",
        "first_name": "ERIK",
        "middle_name": "R.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-06",
        "last_updated": "2008-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA053282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingdon Valley, PA

Sources for this page

Verify at the official NPI Registry.