MEDICARE: MISS OLIVIA MARIE COLLINS PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AS0400X	Surgical Physician Assistant	50.006762RX	OH
2	363A00000X	Physician Assistant	MA062279	PA

General Provider Information

NPI Number	:	1538744065
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS OLIVIA MARIE COLLINS PA-C

Provider Business Mailing Address
First Line	:	9500 EUCLID AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44195-0001
Country	:	US
Telephone Number	:	216-444-2200
Fax Number	:

Provider Business Practice Location Address
First Line	:	9500 EUCLID AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44195-2858
Country	:	US
Telephone Number	:	216-444-2200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/16/2021
Last Update Date	:	12/14/2022

Similar Medicare Providers

1639032543 — SHARON HEALING PERSPECTIVES
Practice Location Address:

3318 W 110TH ST
CLEVELAND, OH
44111-2858

Practice Phone: 216-577-4945
Practice Fax: 216-577-4945

1568636157 — CROSSVILLE WOMEN'S CENTER PLC
Practice Location Address:

49 CLEVELAND ST STE 240
CROSSVILLE, TN
38555-2858

Practice Phone: 931-456-5814
Practice Fax:

1326855594 — JOSUE KABONGO RN, BSN
Practice Location Address:

3318 W 110TH ST
CLEVELAND, OH
44111-2858

Practice Phone: 216-577-4945
Practice Fax:

1053291948 — MR. CARL DEVONTE JONES JR.
Practice Location Address:

3820 MARTIN LUTHER KING JR DR
CLEVELAND, OH
44105-2858

Practice Phone: 216-456-6996
Practice Fax:

1326909300 — HALEIGH RESNIK MOT, OTR/L, CAPS
Practice Location Address:

2858 COLERIDGE RD
CLEVELAND HEIGHTS, OH
44118-3544

Practice Phone: 304-641-6504
Practice Fax:

1801339718 — DR. ERIN RENEE KOEPF PHARM.D., BCACP
Practice Location Address:

9500 EUCLID AVE # JJ10
CLEVELAND, OH
44195-0001

Practice Phone: 216-444-4000
Practice Fax:

Directions to “ MISS OLIVIA MARIE COLLINS PA-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.