Provider Demographics
NPI:1437302833
Name:HELIOTIS OLSEN, EMILY JUNE (PA-C)
Entity type:Individual
Prefix:MS
First Name:EMILY
Middle Name:JUNE
Last Name:HELIOTIS OLSEN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5400 BAYTHORNE DR UNIT B
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78747-3775
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3906 N LAMAR BLVD
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78756-4025
Practice Address - Country:US
Practice Address - Phone:512-861-8040
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-29
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0270442086S0127X, 363A00000X, 363AS0400X
TXPA05977363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No2086S0127XAllopathic & Osteopathic PhysiciansSurgeryTrauma Surgery
No363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL9335999OtherAETNA
FL008610401Medicaid
FLY0H3MOtherBCBS OF FL
FLP1006512OtherFREEDOM HEALTH
FL27369OtherMEDICA
FL5111129OtherCIGNA
FLP0016099OtherFLORIDA HEALTHCARE PLUS
FLP946423OtherOPTIMUM
FLP01176026OtherRAILROAD MCR