Peter Smithwick Oliver, MD
Individual provider Active NPI Child & Adolescent Psychiatry Physician · Prestonsburg, KY
NPI 1003131335 · NPPES record last updated Jul 18, 2018
Key facts
- NPI
- 1003131335
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Child & Adolescent Psychiatry Physician 2084P0804X
- License
- 48591 (KY)
- Practice address
- 104 S Front Ave
Prestonsburg, KY 41653 - Phone
- (606) 886-8572
- Fax
- (606) 886-4433
- NPI assigned
- Mar 30, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 28
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- University of Virginia School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mountain Comprehensive Care Center Inc
Practice addresses (Care Compare)
838 S Mayo TRL
Paintsville, KY 41240-1384
Phone (606) 788-1345
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150909002013 | KY | Practitioner - Psychiatry |
5395052294 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles (10 of 16)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain Comprehensive Care Center, Inc. | Current |
Accepting new patients | |
| Mountain Comprehensive Care Center, Inc. | Current | Accepting new patients | |
| Mountain Comprehensive Care Center, Inc. | Current |
Accepting new patients | |
| Mountain Comprehensive Care Center, Inc. | Past | Accepting new patients | |
| Mountain Comprehensive Care Center, Inc. | Past | Accepting new patients | |
| Mountain Comprehensive Care Center, Inc. | Past | Accepting new patients | |
| Frontier Medical Associates of Paintsville Inc | Past | Accepting new patients | |
| Frontier Medical Associates of Prestonsburg Inc | Past |
Accepting new patients | |
| Mountain Comprehensive Care Center, Inc. | Past | Accepting new patients | |
| Mountain Comprehensive Care Center, Inc. | Past | Accepting new patients |
Locations
263 Ky Route 122
Martin, KY 41649
Phone (606) 949-1555
838 S Mayo Trl
Ste A
Paintsville, KY 41240
1110 S Mayo Trl
Paintsville, KY 41240
Phone (606) 788-1345
838 S Mayo Trl
Paintsville, KY 41240
Phone (606) 788-1345
118 River Dr
Pikeville, KY 41501
Phone (606) 432-3143
118 S Front Ave
Prestonsburg, KY 41653
104 S Front Ave
Prestonsburg, KY 41653
Phone (606) 688-6857
26229 US Highway 119 N
Toler, KY 41514
Phone (606) 237-0020
Networks
- TN PPO
- devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
- KY PPO
- OH PPO
- TN PPO C-SNP
- KY PPO C-SNP
Interoperability endpoints
- peter.oliver.p1@direct.mtcomp.nextgenshare.com
- https://epicproxy.et1225.epichosted.com/FHIRProxy/PMC/api/FHIR/R4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 48591 | KY | Yes |
Addresses
Primary practice location
104 S Front Ave
Prestonsburg, KY 41653
Mailing address
104 S Front Ave
Prestonsburg, KY 41653-1614
Phone (606) 886-8572
Other providers in Prestonsburg, KY
- Ohio Valley Physicians Inc
- Felicia Oldham
- Amber Oliver
- Jonathan Oliver
- Lakin Michele Oliver
- Steve Olshewsky
- Kimberley Oneal
- Christy Oney
- Tommy Oney
- Letha Orberson-McElory
All providers in Prestonsburg, KY · Child & Adolescent Psychiatry Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 18, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.