Robert A Olshaker, MD | |
2300 Opitz Blvd, Woodbridge, VA 22191-3311 | |
(703) 670-1561 | |
(703) 670-4961 |
Full Name | Robert A Olshaker |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 2300 Opitz Blvd, Woodbridge, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629068143 | NPI | - | NPPES |
010128684 | Medicaid | VA | |
P00212165 | Other | DC | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 0101048237 (Virginia) | Primary |
2085R0204X | Radiology - Vascular & Interventional Radiology | 0101048237 (Virginia) | Secondary |
Entity Name | Renaissance Imaging Medical Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487608931 PECOS PAC ID: 7315841756 Enrollment ID: O20161025002336 |
Mailing Address | Practice Location Address |
---|---|
Robert A Olshaker, MD 5655 Hudson Dr Ste 210, Aris Radiology, Hudson, OH 44236-4455 Ph: (330) 655-1869 | Robert A Olshaker, MD 2300 Opitz Blvd, Woodbridge, VA 22191-3311 Ph: (703) 670-1561 |
Brendan L Waters, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 2300 Opitz Blvd, Dept Of Radiology, Woodbridge, VA 22191 Phone: 703-607-1561 | |
John D Grimme, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4001 Prince William Pkwy Ste 302, Woodbridge, VA 22192 Phone: 703-494-3309 Fax: 703-321-3300 | |
Dr. Susan Elizabeth Boylan, MD Radiology Medicare: Medicare Enrolled Practice Location: 2280 Opitz Blvd, Suite 120, Woodbridge, VA 22191 Phone: 703-670-3349 Fax: 703-590-3199 | |
Palani Rathinasamy, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2300 Opitz Blvd, Woodbridge, VA 22191 Phone: 703-670-1561 Fax: 703-670-4961 | |
Lawrence J Israel, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2300 Opitz Blvd, Woodbridge, VA 22191 Phone: 703-670-1561 Fax: 703-670-4961 | |
James Anthony Urso, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2300 Opitz Blved, Woodbridge, VA 23059 Phone: 703-523-1000 |