Individual provider Active NPI

Steven L Olenchak, PA

  • Physician Assistant
  • Henderson, NV
National Provider Identifier
1811072309
Registry record updated Oct 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA688 Issued in NV
Practice address
1399 Galleria Dr
203
Henderson, NV 89014-6662
Phone
(702) 951-7238
Fax
(702) 413-7240
NPI assigned
Oct 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2011

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 PA688 NV Primary

Addresses

Primary practice location

1399 Galleria Dr
203
Henderson, NV 89014-6662

Mailing address

1399 Galleria Dr
203
Henderson, NV 89014-6662
Phone (702) 951-7238

Other identifiers 1

IdentifierTypeStateIssuer
002402500MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20061205000618 NV Practitioner - Physician Assistant 9436158276 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1399 Galleria Dr
Suite 203
Henderson, NV 89014-6664
Phone (702) 476-5552

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Steven Olenchak, PC CurrentSince Jul 21, 2008 Accepting new patients

Locations

1399 Galleria Dr
Ste 203
Henderson, NV 89014
Phone (702) 804-1212

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": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319846400000",
    "number": "1811072309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1399 GALLERIA DR",
            "address_2": "203",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890146662",
            "telephone_number": "702-951-7238",
            "fax_number": "702-413-7240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1399 GALLERIA DR",
            "address_2": "203",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890146662",
            "telephone_number": "702-951-7238",
            "fax_number": "702-413-7240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLENCHAK",
        "first_name": "STEVEN",
        "middle_name": "L",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2011-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002402500",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.