Olga Iarossevitch, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PAT 9104365 Issued in FL

Practice address

401 Linton Blvd
Suite 300
Delray Beach, FL 33444-8193

Phone

(561) 447-0090

Fax

(561) 447-9663

NPI assigned

Oct 25, 2007

Last updated

Feb 7, 2008By 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

Other identifiers 2

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.

• South Florida Womens Cancer Care LLC

  • Gynecologic Oncology Physician
  • Delray Beach, FL
  • NPI 1598075632
  NPD (past)

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202342400000",
    "number": "1871772939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 LINTON BLVD STE 300",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334448157",
            "telephone_number": "561-447-0090",
            "fax_number": "561-447-9663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 LINTON BLVD",
            "address_2": "SUITE 300",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334448193",
            "telephone_number": "561-447-0090",
            "fax_number": "561-447-9663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IAROSSEVITCH",
        "first_name": "OLGA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-25",
        "last_updated": "2008-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PAT 9104365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "AH364Z",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "AH364Y",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nir Joseph Hus, M.D., PH.D.
• Jennifer Hwee, DPT
• Paul Frederick Hyland, MD
• Hyperbaric Services of the Palm Beaches LLC
• Ian S Goldbaum DPM PA
• Gretel Ibargollin Acosta
• Ics Radiology, Inc.
• Idental of Delray Beach, PLLC
• Nameeta Idnani, DMD
• Vibhor Idnani, DMD

• Physician Assistant in Delray Beach, FL
• Providers in Delray Beach, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; 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.