JUAN C OLAZAGASTI (NPI# 1154430916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154430916 |
Entity Type | Individual |
Full Name | JUAN C OLAZAGASTI |
Credential | MD |
Practice Address |
102 Highland Ave Se Ste 305 Roanoke VA 24013-2253 |
Mailing Address |
Po Box 496 Montvale VA 24122-0496 |
Practice Telephone | 5409859832 |
Practice Fax Number | 5402244421 |
Mailing Telephone | 5405255494 |
Enumeration Date | 2006-08-29 |
Last Update Date | 2011-08-11 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
ME0057738 | FL | Allopathic & Osteopathic Physicians |
Y | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
0101240810 | VA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | 010344701 | 05 | |
VA | 010383731 | 05 | |
FL | 55285201 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093884629 | Juan M. Olazagasti | Radiology | Lee St Fl 1, Charlottesville, VA 22908-0001 | 2006-11-07 |
Street Address |
102 HIGHLAND AVE SE STE 305 |
City | ROANOKE |
State | VA |
Zip Code | 24013-2253 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588800239 | Stephanie Wolfe | Dietitian, Registered | 102 Highland Ave Se Ste 305, Roanoke, VA 24013-2253 | 2008-12-31 |
1942446695 | Tina Renick | Dietitian, Registered | 102 Highland Ave Se Ste 305, Roanoke, VA 24013-2253 | 2008-12-31 |
1689794398 | Monica Paz Garin-laflam | Pediatrics | 102 Highland Ave Se Ste 305, Carilion Clinic, Pediatric Gastroenterology, Roanoke, VA 24013-2253 | 2007-03-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114091485 | Amy Barker | Registered Nurse | 102 Highland Ave Se Ste 203, Roanoke, VA 24013 | 2006-11-20 |
1992888432 | Valley Home Health Care LLC | Durable Medical Equipment & Medical Supplies | 1212 Campbell Ave Se, Roanoke, VA 24013 | 2006-10-20 |
1245325786 | Travis Pg Barham | Dentist | 101 Elm Ave, Roanoke, VA 24013 | 2006-10-03 |
1801251806 | Emily Lawson Bennett | Nurse Practitioner | 101 Elm Ave Se, Roanoke, VA 24013 | 2015-12-18 |
1629455936 | Mebratu Daba | Pediatrics | 102 Highland Ave Se Ste 104, Roanoke, VA 24013 | 2015-05-06 |
1720475296 | Hussein Elmufti | Pediatrics | 102 Highland Ave Se Ste 455, Roanoke, VA 24013 | 2015-04-22 |
1861467847 | Kilian H. Brech II | Pediatrics | 21 Highland Ave Se Ste 100, Roanoke, VA 24013 | 2006-02-22 |
1114545928 | Raven Matthews | Emergency Medicine | 213 18th St Se, Roanoke, VA 24013-1311 | 2020-07-08 |
1356557102 | Sandra Elaine Sayre | Nurse Practitioner | 402 4th St Se, Roanoke, VA 24013-1404 | 2007-05-15 |
1982041000 | Family Preservation Services, Inc. | Community/Behavioral Health | 825 Stewart Ave Se, Roanoke, VA 24013-1443 | 2013-05-30 |
Find all providers in zip 24013 |
Taxonomy Code | 2080P0206X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Gastroenterology |
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689794398 | Monica Paz Garin-laflam | Pediatrics | 102 Highland Ave Se Ste 305, Carilion Clinic, Pediatric Gastroenterology, Roanoke, VA 24013-2253 | 2007-03-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548529126 | Bon Secours-st. Mary's Hospital of Richmond, Inc. | Pediatrics | 5855 Bremo Rd Ste 605, Richmond, VA 23226-1926 | 2012-05-16 |
1083885214 | Benjamin Isaac Enav | Pediatrics | 2700 Prosperity Ave, Suite 260, Fairfax, VA 22031-4339 | 2008-03-15 |
1407908445 | Mahendra D.shah,m.d.& Associates,p.c. | Pediatrics | 4207 Whitford Ct, # 1703, Glen Allen, VA 23060-4138 | 2007-01-18 |
1881625408 | Juan F Villalona | Pediatrics | 7229 Forest Ave Ste 106, The Highland II Medical Office Building, Richmond, VA 23226-3765 | 2006-07-05 |
1205884368 | Gastroenterology Associates of Northern Virginia, LLC | Pediatrics | 3700 Joseph Siewick Dr., Suite 308, Fairfax, VA 22033-1739 | 2006-05-04 |
1740253020 | Peter Lee Jr. | Pediatrics | 3022 Williams Dr, Suite 301, Fairfax, VA 22031-4600 | 2006-02-08 |
1174517478 | Scott Michael Sirlin | Pediatrics | 19455 Deerfield Ave, Suite 205, Lansdowne, VA 20176-8100 | 2005-09-01 |
1730516675 | Bon Secours Virginia Medical Group I, LLC | Pediatrics | 5875 Bremo Rd, Suite 303, Richmond, VA 23226-1934 | 2013-10-10 |
1013259688 | Gayathri Krishnaveni Naraparaju | Pediatrics | 5855 Bremo Rd Ste 605, Richmond, VA 23226-1926 | 2013-03-21 |
1164779682 | Benjamin I. Enav, Md, LLC | Pediatrics | 2700 Prosperity Ave, Suite 260, Fairfax, VA 22031-4339 | 2012-08-14 |
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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.