MRS. OLIVIA JEAN WALL PETRIE (NPI# 1124416334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124416334 |
| Entity Type | Individual |
| Full Name | MRS. OLIVIA JEAN WALL PETRIE |
| Other Name | MS. OLIVIA JEAN WALL |
| Credential | PA-C |
| Practice Address |
301 Kenai Street Whittier AK 99693 |
| Mailing Address |
3380 C St Suite 100 Anchorage AK 99503-3949 |
| Practice Telephone | 9074722303 |
| Mailing Telephone | 9072771440 |
| Enumeration Date | 2014-12-23 |
| Last Update Date | 2016-04-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 2379 | AK | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
301 KENAI STREET |
| City | WHITTIER |
| State | AK |
| Zip Code | 99693 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467515148 | Eastern Aleutian Tribes, Inc. | Clinic/Center | 301 Kenai Street, Whittier, AK 99693 | 2006-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235248154 | City of Whittier | Ambulance | 100 Kenai Street, Suite 104, Whittier, AK 99693 | 2006-08-30 |
| 1790759223 | Patricia W Hoffstatter | Registered Nurse | 301 Kenai St, Pob 727, Whittier, AK 99693-0727 | 2006-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437757457 | Mitra Rouintan Dmd, Inc. | Clinic/Center | 9209 Colima Rd Ste 2200, Whittier, CA 90605-1817 | 2020-10-12 |
| 1780291351 | Care Now Urgentcare | Clinic/Center | 5236 Palm Ave, Whittier, CA 90601-2210 | 2020-09-28 |
| 1811503162 | George Thomas Lafortune | Specialist | 7927 Painter Ave Ste 200, Whittier, CA 90602-2480 | 2020-09-22 |
| 1053925172 | Jacqueline Chun | Social Worker | 11813 Marquardt Ave, Whittier, CA 90605-4021 | 2020-09-04 |
| 1083227045 | Toshina Crockett-espinoza | Chiropractor | 7713 Gerda Ct, Whittier, CA 90606-2130 | 2020-08-28 |
| 1497368450 | Edwin Van Capelle | Hearing Instrument Specialist | 15758 La Forge St, Whittier, CA 90603-2334 | 2020-08-28 |
| 1578175444 | Karen Ann Pena | Counselor | 13701 Carnell St, Whittier, CA 90605-2202 | 2020-08-20 |
| 1417569617 | Stephanie Santos Family Counseling Inc | Clinic/Center | 7007 Washington Ave Ste 315, Whittier, CA 90602-3610 | 2020-08-19 |
| 1467063214 | Gayana Chuklansev | Nurse Practitioner | 10555 Memphis Ave, Whittier, CA 90604-1449 | 2020-08-14 |
| 1356959035 | Ricardo Velasco | Dental Assistant | 7721 Newlin Ave Apt A, Whittier, CA 90602-2058 | 2020-07-17 |
| Find all providers in WHITTIER | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265070023 | Jae Woo Seo | Physician Assistant | 13718 Russell St, Whittier, CA 90602-3149 | 2019-12-11 |
| 1346886538 | Alexander John Velarde | Physician Assistant | 10913 Bogardus Ave, Whittier, CA 90603-3153 | 2019-11-21 |
| 1710522941 | Jeffrey Jagiello | Physician Assistant | 12329 Breezewood Dr Apt 4, Whittier, CA 90604-3816 | 2019-11-12 |
| 1477194215 | Armando Aguiniga | Physician Assistant | 12291 Washington Blvd Ste 302, Whittier, CA 90606-2549 | 2019-10-02 |
| 1174183388 | Alexis Burciaga | Physician Assistant | 16503 Windsor Ave, Whittier, CA 90603-3077 | 2019-06-19 |
| 1386134542 | Melissa Lopez | Physician Assistant | 9209 Colima Rd Ste 2000b, Whittier, CA 90605-1816 | 2018-05-14 |
| 1376043133 | Allesa Rachelle Bumgardner | Physician Assistant | 12401 Washington Blvd Ste 400, Whittier, CA 90602-1006 | 2018-02-19 |
| 1518474816 | Sakshi Madan | Physician Assistant | 14442 Whittier Blvd Ste 105, Whittier, CA 90605 | 2018-01-08 |
| 1134538721 | Jeremy Jay Romaine | Physician Assistant | 6501 Greenleaf Ave, Whittier, CA 90601-4108 | 2014-08-07 |
| 1639582612 | Jacqueline Surrency LLC | Physician Assistant | 10131 Memphis Ave, Whittier, CA 90603-2024 | 2014-06-06 |
| Find all providers in WHITTIER | ||||
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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.