Provider Demographics
NPI:1962956029
Name:OLYMPIC CORPORATION
Entity type:Organization
Organization Name:OLYMPIC CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:WAPENSKI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:412-369-9059
Mailing Address - Street 1:302 GRACE DEL LN
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-4300
Mailing Address - Country:US
Mailing Address - Phone:412-369-9059
Mailing Address - Fax:
Practice Address - Street 1:401 SMITH DR
Practice Address - Street 2:SUITE 4
Practice Address - City:CRANBERRY TWP
Practice Address - State:PA
Practice Address - Zip Code:16066-4140
Practice Address - Country:US
Practice Address - Phone:724-772-7080
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-06
Last Update Date:2016-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD044065E2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty