Individual provider Active NPI

Laura L. Oliver, PA-C

  • Surgical Physician Assistant
  • Wilmington, DE
National Provider Identifier
1023088333
Registry record updated Nov 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
C5-0000188 Issued in DE
Practice address
3401 Brandywine Pkwy
Ste 101
Wilmington, DE 19803-1554
Phone
(302) 633-3555
Fax
(302) 479-1559
NPI assigned
Jan 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X C5-0000188 DE Primary
Physician Assistant 363A00000X C5-0000188 DE

Addresses

Primary practice location

3401 Brandywine Pkwy
Ste 101
Wilmington, DE 19803-1554

Mailing address

1941 Limestone Rd
Ste 101
Wilmington, DE 19808-5408
Phone (302) 633-3555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111214000868 DE Practitioner - Physician Assistant 9436324787 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Francis Hospital IncGroup PAC ID 7911987144, 47 clinicians

Practice addresses (Care Compare)

701 N Clayton St
Wilmington, DE 19805-3165

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C5-0000188DEMDPhysician Assistant
6652GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St Francis Hospital Inc. CurrentSince Oct 13, 2018 Accepting new patients
St Francis Hospital Inc Past Accepting new patients
Christiana Spine, PA Past Accepting new patients

Locations

701 N Clayton St
Ste 200
Wilmington, DE 19805
Phone (302) 575-8040

701 N Clayton St
Wilmington, DE 19805
Phone (302) 421-4100

701 N Clayton St
Fl 2
Wilmington, DE 19805
Phone (302) 575-8040

Interoperability endpoints

  • Direct secure messaging: loliver2019265@direct.trinity-health.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447891200000",
    "number": "1023088333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1941 LIMESTONE RD",
            "address_2": "STE 101",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198085408",
            "telephone_number": "302-633-3555",
            "fax_number": "302-633-3559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 BRANDYWINE PKWY",
            "address_2": "STE 101",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198031554",
            "telephone_number": "302-633-3555",
            "fax_number": "302-479-1559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "LAURA",
        "middle_name": "L.",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-26",
        "last_updated": "2015-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "DE",
            "license": "C5-0000188",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DE",
            "license": "C5-0000188",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.