Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Oliver A Agustin, PA

Individual provider Physician Assistant · NPI 1023042256

Oliver A Agustin, PA is a Physician Assistant in Virginia Beach, Virginia. Qualified in 1999, 27 years ago. Practices with Emergency Physicians of Tidewater, a 165-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
27
Licensed in
VA
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

4092 Foxwood Dr
Virginia Beach, VA 23462-5225
Phone: (757) 467-4200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110001077 (VA)

Record details

NPI number1023042256
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 11, 2006
Last updated in NPPESMarch 7, 2023
Certification dateMay 5, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Emergency Physicians Of Tidewater — 165 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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