JUAN C OLAZAGASTI


Address: 102 Highland Ave Se Ste 305, Roanoke, VA 24013-2253
Phone: 5409859832

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
VA 010344701 05
VA 010383731 05
FL 55285201 05

Other Providers JUAN OLAZAGASTI

NPI Name Taxonomy Address Enumeration
1093884629 Juan M. Olazagasti Radiology Lee St Fl 1, Charlottesville, VA 22908-0001 2006-11-07

Office Location

Street Address 102 HIGHLAND AVE SE STE 305
City ROANOKE
State VA
Zip Code 24013-2253

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 2080P0206X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Gastroenterology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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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Competitor

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City ROANOKE
Zip Code 24013

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Dataset Information

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.

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