NPIMap

Individual provider Active NPI

Kimberly Carrie Olving, PA-C

  • Medical Physician Assistant
  • Bethlehem, PA
National Provider Identifier
1871865485
Registry record updated May 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA056730 Issued in PA
Practice address
801 Ostrum St
Bethlehem, PA 18015-1000
Phone
(484) 526-4500
Fax
(484) 526-6674
NPI assigned
Jan 30, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2011035892 MO
Medical Physician Assistant 363AM0700X MA056730 PA Primary

Addresses

Primary practice location

801 Ostrum St
Bethlehem, PA 18015-1000

Mailing address

PO Box 783311
Philadelphia, PA 19178-3311

Other identifiers 3

IdentifierTypeStateIssuer
1447412770MedicaidMO
26D0679044OtherMOCLIA
1871865485MedicaidMO

Other names 1

  • Miss Kimberly Carrie Strohl Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140813000805 PA Practitioner - Physician Assistant 6507026846 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA056730PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group Physician Assistant CurrentSince Aug 4, 2014 Accepting new patients
St Luke'S Physician Group Inc CurrentSince Jun 10, 2019 Accepting new patients
Atlantic Physician Services of Maryland, PC Physician Assistant CurrentSince Nov 1, 2018 Accepting new patients
St. Luke'S Physician Group, Inc. CurrentSince Jun 10, 2019 Accepting new patients
Lehigh Valley Physician Group CurrentSince Aug 4, 2014 Accepting new patients
Regents of the University of California - Ucsd Medical Group Past Accepting new patients
Texas County Memorial Hospital Past Accepting new patients
Humboldt Emergency Physicians LLC Physician Assistant Past Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

1730 Chew St
Allentown, PA 18104
Phone (610) 402-3500

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

300 Highland Ave
Hanover, PA 17331
Phone (717) 316-3711

211 N 12th St
Lehighton, PA 18235
Phone (610) 377-1300

135 Lafayette Ave
Palmerton, PA 18071
Phone (610) 826-1103

700 E Norwegian St
Pottsville, PA 17901
Phone (570) 621-4000

2500 Bernville Rd
Reading, PA 19605
Phone (610) 378-2300

Organizations & group practices 12

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": "1327881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558310400000",
    "number": "1871865485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 783311",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191783311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 OSTRUM ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180151000",
            "telephone_number": "484-526-4500",
            "fax_number": "484-526-6674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLVING",
        "first_name": "KIMBERLY",
        "middle_name": "CARRIE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-30",
        "last_updated": "2019-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2011035892",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA056730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1447412770",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "26D0679044",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871865485",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "STROHL",
            "middle_name": "CARRIE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.