Provider Demographics
NPI:1396031142
Name:SCHIPPER, OLIVER NIKOLAAS (MD)
Entity type:Individual
Prefix:DR
First Name:OLIVER
Middle Name:NIKOLAAS
Last Name:SCHIPPER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2800 S SHIRLINGTON RD STE 1100
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22206-3605
Mailing Address - Country:US
Mailing Address - Phone:703-769-8449
Mailing Address - Fax:703-780-0319
Practice Address - Street 1:2800 S SHIRLINGTON RD STE 1100
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22206-3605
Practice Address - Country:US
Practice Address - Phone:703-769-8449
Practice Address - Fax:703-780-0319
Is Sole Proprietor?:No
Enumeration Date:2011-06-21
Last Update Date:2025-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101262523207XX0004X
NC2016-00118207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Yes207XX0004XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryFoot and Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0397730024Medicare NSC
NCNCS591AMedicare PIN
SCNC2665Medicaid
NCNCS591AMedicare PIN