Individual provider · Type 1 NPI

Olivia Marie Countryman, PA-C

Physician Assistant · Greenwood, IN

NPI number 1245188762 Active

Practice location

701 E County Line Rd Ste 302
Greenwood, IN 46143-1071

Call (317) 434-4637 Map

Fax (317) 662-2302

Mailing address

111 New Hampshire Ave Ste 2
Portsmouth, NH 03801-2864

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X10005371A (IN)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1245188762

Olivia Marie Countryman, PA-C's National Provider Identifier is 1245188762, issued on Mar 19, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Greenwood, IN. The record was last updated on Sep 9, 2026.