- Practice location
- 701 E County Line RD Ste 302, Greenwood, IN 46143-1071
- Phone
- 317-434-4637
- Fax
- 317-662-2302
- Last updated
- September 9, 2026
Olivia Marie Countryman is a Physician Assistant based in Greenwood, IN. Olivia Marie Countryman practices in Greenwood, IN and has the professional credentials of PA-C. The NPI Number for Olivia Marie Countryman is 1245188762 and holds a License No. 10005371A (IN). The current practice location address for Olivia Marie Countryman is 701 E County Line RD Ste 302, Greenwood, IN 46143-1071 and can be reached out via phone at 317-434-4637 and via fax at 317-662-2302.
Provider Profile Details
- NPI Number
- 1245188762
- Provider Name
- Olivia Marie Countryman
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 701 E County Line RD Ste 302, Greenwood, IN 46143-1071
- Phone Number
- 317-434-4637
- Fax Number
- 317-662-2302
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 19, 2026
- Last Update Date
- September 9, 2026
- Certification Date
- September 9, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 701 E County Line RD Ste 302
Greenwood, IN 46143-1071 - City
- Greenwood
- State
- Indiana
- Zip
- 46143-1071
- Phone Number
- 317-434-4637
- Fax Number
- 317-662-2302
Provider Business Mailing Address Details
- Address
- 111 New Hampshire Ave Ste 2
Portsmouth, NH 03801-2864 - City
- Portsmouth
- State
- NH
- Zip
- 03801-2864
- Phone Number
- 330-947-6021
License Information
- License Number
- 10005371A
- License State
- IN
- Taxonomy
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Miss Olivia M Countryman, PA-C?
The NPI number of Miss Olivia M Countryman, PA-C is 1245188762. It was assigned on March 19, 2026 and is currently active in the NPPES registry.
What is the specialty of Miss Olivia M Countryman, PA-C?
Miss Olivia M Countryman, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in IN under license number 10005371A.
Where does Miss Olivia M Countryman, PA-C practice?
The practice location is 701 E County Line RD Ste 302, Greenwood, IN 46143-1071. The office can be reached at 317-434-4637 (phone) or 317-662-2302 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1245188762 directly on the NPPES registry website.