MR. OLEG COOLEY PA-C NPI 1780695684

NPI Information

  • NPI: 1780695684
  • Provider Name: MR. OLEG COOLEY, PA-C
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 126 E CHURCH ST STE 2100
    SOMERSET, PA
    ZIP 15501
  • Phone: (814) 443-1281

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NPI Details

MR. Oleg Cooley, PA-C is a surgical physician assistant in Somerset, PA with 40 years of experience. MR. Oleg Cooley, PA-C NPI is 1780695684. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

126 E CHURCH ST STE 2100
SOMERSET, PA
ZIP 15501-271
Phone: (814) 443-1281
Fax: (814) 443-3214

The NPI 1780695684 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/10/2006 and was last updated on 3/11/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AS0400XPhysician AssistantSurgicalMA001256LPENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1001452375OTHERPENNSYLVANIABLUE SHIELD PROVIDER #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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