OLIVIA MAE LARUSSA (NPI# 1023530342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023530342 |
| Entity Type | Individual |
| Full Name | OLIVIA MAE LARUSSA |
| Credential | PA-C |
| Practice Address |
1701 N George Mason Dr Arlington VA 22205-3610 |
| Practice Telephone | 2026776219 |
| Mailing Telephone | 2026776219 |
| Mailing Fax Number | 2027413219 |
| Enumeration Date | 2017-07-07 |
| Last Update Date | 2019-12-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
TL2763 | SC | Allopathic & Osteopathic Physicians |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
0110006894 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
2763 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 3448PA | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9 Medical Park Drive, Suite, 450, Columbia, SC 292036859 | 8034348800 | 8034348802 |
| Street Address |
1701 N GEORGE MASON DR |
| City | ARLINGTON |
| State | VA |
| Zip Code | 22205-3610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639178098 | Anna Barbara Korzan | Internal Medicine | 1701 N George Mason Dr, Kaiser Permanente Virginia Hospital Center, Arlington, VA 22205-3610 | 2005-07-19 |
| 1578161709 | Alexandra Leigh Silver | Registered Nurse | 1701 N George Mason Dr, Arlington, VA 22205-3610 | 2020-10-09 |
| 1861007874 | Margaret Frances Downing | Nurse Practitioner | 1701 N George Mason Dr, Arlington, VA 22205-3610 | 2020-09-15 |
| 1902416647 | Jennifer Ngoc Nguyen | Registered Nurse | 1701 N George Mason Dr, Arlington, VA 22205-3610 | 2020-08-07 |
| 1083222863 | Ada Healthcare LLC | Acupuncturist | 1701 N George Mason Dr, Arlington, VA 22205-3610 | 2020-07-17 |
| 1790306660 | Marcus Asante | Pharmacy Technician | 1701 N George Mason Dr, Arlington, VA 22205-3610 | 2020-05-02 |
| 1932720901 | Van A Huynh | Pharmacy Technician | 1701 N George Mason Dr, Arlington, VA 22205-3610 | 2020-05-01 |
| 1316571110 | Jessica Lauren Mattfeld | Physician Assistant | 1701 N George Mason Dr, Arlington, VA 22205-3610 | 2020-03-02 |
| 1780216283 | Naomi Sloan | Nurse Anesthetist, Certified Registered | 1701 N George Mason Dr, Arlington, VA 22205-3610 | 2020-02-12 |
| 1053943589 | Kathryn Freeman | Nurse Anesthetist, Certified Registered | 1701 N George Mason Dr, Arlington, VA 22205-3610 | 2020-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417315722 | Ruth Jannet Figueroa Lopez | Dentist | Blvd Cucapah 19961-9, Ampliacion Loma Bonita, Tijuana, BAJA CALIFORNIA 22205 | 2016-02-01 |
| 1083004394 | Ashley Pullum | Behavioral Analyst | 874 N Nottingham St, Arlington, VA 22205 | 2015-01-26 |
| 1548601529 | Whitney C Pelton | Physical Therapist | 5910 Wilson Blvd, Sunrise Bluemont, Arlington, VA 22205 | 2013-07-08 |
| 1134490311 | Advanced Spine and Pain Pllc | Orthopaedic Surgery | 1625 N George Mason Drive Suite 345, Arlington, VA 22205 | 2012-01-20 |
| 1518269638 | Arle Zelma Samuels | Pharmacist | 5105 W1ilson Blvd, Arlington, VA 22205 | 2010-11-22 |
| 1255640686 | Geatenet G Wasia | Pharmacist | 4851 N Washington Blvd, Arlington, VA 22205 | 2010-10-04 |
| 1518272327 | Alexis S Speight | Counselor | 1725 North George Mason Dr., Arlington, VA 22205 | 2010-08-17 |
| 1821224437 | Myriam Ferzli | Obstetrics & Gynecology | 1635 N George Mason Dr Ste 190, Arlington, VA 22205 | 2009-06-09 |
| 1427232685 | United Rehab Inc. | Home Health | 1661 N. Longfellow Street, Arlington, VA 22205 | 2007-12-24 |
| 1144426404 | Teri E Minehart | Nurse Practitioner | 1701 No. George Mason Drive, Arlington, VA 22205 | 2007-06-25 |
| Find all providers in zip 22205 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912558693 | Chandrant Akshar Pa | Physician Assistant | 400 W Arbrook Blvd Ste 230, Arlington, TX 76014-3174 | 2019-09-24 |
| 1194257139 | Wade Aumiller | Physician Assistant | 1001 N Waldrop Dr Ste 403, Arlington, TX 76012-4703 | 2017-03-29 |
| 1619296274 | Kelly Dean Sanders | Physician Assistant | 7309 Winding Way Dr, Arlington, TX 76001-2006 | 2010-05-21 |
| 1902036239 | Prime Surgical Services | Physician Assistant | 3216 Winston Terrace #411, Arlington, TX 76014 | 2009-07-21 |
| 1588892251 | Yolanda Meashell Snell | Physician Assistant | 3216 Winston Terrace, 411, Arlington, TX 76014 | 2009-07-01 |
| 1598993917 | Tiffany Hoai Thu Dao | Physician Assistant | 3150 Waterside Dr, Arlington, TX 76012-2128 | 2009-06-24 |
| 1225177041 | Nora V Flores | Physician Assistant | 6505 Electra Dr, Arlington, TX 76001-7469 | 2007-02-06 |
| 1689221053 | Amy Carrillo Ali | Physician Assistant | 902 W Randol Mill Rd Ste 120, Arlington, TX 76012-2579 | 2019-08-21 |
| 1437631512 | Midhat Syed | Physician Assistant | 1001 N Waldrop Dr Ste 612, Arlington, TX 76012-4714 | 2018-09-05 |
| 1932695681 | Physician Assistant Services of Texas Orthopedic Spine Arlington Lllp | Physician Assistant | 707 Highlander Blvd, Arlington, TX 76015-4319 | 2018-07-05 |
| Find all providers in ARLINGTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.