Active NPI
Svetlana Oberkirsch, PA
- Physician Assistant
- Concord, NC
National Provider Identifier
1699242883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 001008988
- Practice address
- 280 Executive Park Dr Ste 100
Concord, NC 28025-1838 - Phone
- (704) 237-4240
- NPI assigned
- Oct 26, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 0010-08988 | NC | |
| Physician Assistant | 363A00000X | 001008988 | Primary |
Addresses
Primary practice location
280 Executive Park Dr Ste 100
Concord, NC 28025-1838
Mailing address
755 Highland Oaks Dr Ste 105
Winston Salem, NC 27103-7106
Phone (704) 237-4240
Other practice location 1
1399 Ashleybrook Ln Ste 100
Winston Salem, NC 27103-2961
Phone (336) 774-2194
Other names 1
- Svijetlana Oberkirsch
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Emotional Health | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Addiction Psychiatry Physician
- Gastonia, NC
- NPI 1174922348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698969600000",
"number": "1699242883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "755 HIGHLAND OAKS DR STE 105",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271037106",
"telephone_number": "704-237-4240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 EXECUTIVE PARK DR STE 100",
"city": "CONCORD",
"state": "NC",
"postal_code": "280251838",
"telephone_number": "704-237-4240"
}
],
"practiceLocations": [
{
"address_1": "1399 Ashleybrook Ln Ste 100",
"address_purpose": "LOCATION",
"city": "Winston Salem",
"state": "NC",
"postal_code": "271032961",
"country_code": "US",
"telephone_number": "336-774-2194",
"fax_number": "336-774-2195",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OBERKIRSCH",
"first_name": "SVETLANA",
"name_prefix": "Ms.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-26",
"last_updated": "2023-11-03",
"certification_date": "2023-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NC",
"license": "0010-08988",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": "001008988",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SVIJETLANA",
"last_name": "OBERKIRSCH",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Concord, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.