Ovidio Buscaino Demiar, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA10001114 Issued in WA

Practice address

700 S 11TH St
Sunnyside, WA 98944-2243

Phone

(509) 839-6288

Fax

(509) 839-5913

NPI assigned

Jan 4, 2007

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Male

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 3

Medicare fee-for-service enrollment

Enrolled in WA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Mid-Valley Community Clinic, PLLC

  • Family Medicine Physician
  • Sunnyside, WA
  • NPI 1447203104
  Medicare reassignment

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1972650729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 957",
            "city": "SUNNYSIDE",
            "state": "WA",
            "postal_code": "989440957",
            "telephone_number": "509-839-6822",
            "fax_number": "509-839-5913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S 11TH ST",
            "city": "SUNNYSIDE",
            "state": "WA",
            "postal_code": "989442243",
            "telephone_number": "509-839-6288",
            "fax_number": "509-839-5913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMIAR",
        "first_name": "OVIDIO",
        "middle_name": "BUSCAINO",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA10001114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PA10001114",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID-PIN",
            "identifier": "G115140700",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "0166737",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Davis, DMD
• Genesis Yaninellha Dearte, LMT
• Silvia P Dearte, LMP
• Arlene Delgado
• Fe M Demiar, CRNA
• Derek S Weaver DO PLLC (Weaver Family Medicine)
• Derek Thompson DMD Patrick Ferguson DDS PLLC (Apple Valley Dental and Orthodontics)
• Derek Thompson DMD Patrick Ferguson DDS, PLLC (Apple Valley Dental & Orthodontics)
• Dyke Charles Dickie, P.T.
• Pearline Dillard, PHARMD

• Medical Physician Assistant in Sunnyside, WA
• Providers in Sunnyside, WA by specialty
• Medical Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.