NPIMap

Organization Active NPI

Maureen a Olivier M.D.

Doing business as Olivier Dermatology

  • Dermatology Physician
  • Lake Charles, LA
National Provider Identifier
1033584065
Registry record updated Mar 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
MAUREEN A OLIVIER M.D.
Doing business as
Olivier Dermatology
Practice address
4150 Nelson Rd
Building E Suite 1
Lake Charles, LA 70605-4140
Phone
(337) 474-1386
NPI assigned
Dec 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2016

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

Authorized official

Name
Dr. Maureen A Olivier, M.D.NPI 1407906928
Title
Owner
Phone
(337) 474-1386

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X LA Primary

Addresses

Primary practice location

4150 Nelson Rd
Building E Suite 1
Lake Charles, LA 70605-4140

Mailing address

4150 Nelson Rd
Building E Suite 1
Lake Charles, LA 70605-4140
Phone (337) 474-1386

Other identifiers 3

IdentifierTypeStateIssuer
54443OtherLAMEDICARE P-TAN
1300586MedicaidLA
015309OtherLASTATE LICENSE

Other names 1

  • OLIVIER DERMATOLOGY Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1449014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458000000000",
    "number": "1033584065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 NELSON RD",
            "address_2": "BUILDING E SUITE 1",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706054140",
            "telephone_number": "337-474-1386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 NELSON RD",
            "address_2": "BUILDING E SUITE 1",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706054140",
            "telephone_number": "337-474-1386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAUREEN A OLIVIER M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-02",
        "last_updated": "2016-03-15",
        "status": "A",
        "authorized_official_last_name": "OLIVIER",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-474-1386",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE P-TAN",
            "identifier": "54443",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1300586",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "015309",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OLIVIER DERMATOLOGY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.