Olympia Damaris Ming, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

10002963A Issued in IN

Practice address

13450 N Meridian St Ste 354
Carmel, IN 46032-1486

Phone

(317) 582-8931

Fax

(317) 582-8932

NPI assigned

Jun 12, 2006

Last updated

Aug 3, 2022By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northside Surgical Professional Services LLC

  • Surgery Physician
  • Atlanta, GA
  • NPI 1356630990
  NPD (past)

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1710929195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13450 N MERIDIAN ST STE 354",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460321486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13450 N MERIDIAN ST STE 354",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460321486",
            "telephone_number": "317-582-8931",
            "fax_number": "317-582-8932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MING",
        "first_name": "OLYMPIA",
        "middle_name": "DAMARIS",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IN",
            "license": "10002963A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mindful Harmony Trauma & Wellness, LLC
• Mindful Me, LLC
• Norman Mindrebo, MD
• Mindset Medical, LLC
• Victoria Antoinette Mindykowski
• Gina Minks, LCSW
• Scott Gregory Minnich, MSW
• John Thomas Minturn, M.D.
• Renee Ann Miracle, DPT, PT
• Sanjay Mishra, MD

• Medical Physician Assistant in Carmel, IN
• Providers in Carmel, IN by specialty
• Medical Physician Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; 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.