Anthony Louis Oliveri

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

PT6567 Issued in MS

Practice address

702 Martin Luther King St
Mound Bayou, MS 38762-9314

Phone

(662) 741-8800

NPI assigned

Jan 29, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1580256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580256000000",
    "number": "1043841067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 COLLEGE ST",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387322929",
            "telephone_number": "716-799-5952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 MARTIN LUTHER KING ST",
            "city": "MOUND BAYOU",
            "state": "MS",
            "postal_code": "387629314",
            "telephone_number": "662-741-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVERI",
        "first_name": "ANTHONY",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-29",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MS",
            "license": "PT6567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mound Bayou Public Schools
• Natural Pain Back Institute, LLC
• Nevaeh Hospice
• New Horizons Wellness, LLC
• North Bolivar Consolidated School District
• Melvern Scott Jr., LSW.
• Miranda Michelle Shegog, FNP-BC
• Alyssa Lott Simmons, FNP-C
• Taborian Urgent Care Center Project Inc.
• The Essential Nurses PLLC

• Physical Medicine & Rehabilitation Physician in Mound Bayou, MS
• Providers in Mound Bayou, MS by specialty
• Physical Medicine & Rehabilitation Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; 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.