Alfonso Oliva, MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

91-1722209 Issued in WA

Practice address

530 S Cowley St Ste 140
Spokane, WA 99202-1316

Phone

(509) 838-1010

Fax

(509) 777-1070

NPI assigned

Aug 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: aoliva320055@wm.providencedirect.org
• Direct secure messaging: aoliva@directaddress.net

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.

• Plastic Surgery Northwest PLLC

  • Plastic Surgery Physician
  • Spokane, WA
  • NPI 1780714139
  Medicare reassignment NPD

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623974400000",
    "number": "1093728784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 S COWLEY ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992021316",
            "telephone_number": "509-838-1010",
            "fax_number": "509-777-1070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 S COWLEY ST STE 140",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992021316",
            "telephone_number": "509-838-1010",
            "fax_number": "509-777-1070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVA",
        "first_name": "ALFONSO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "WA",
            "license": "91-1722209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aoliva320055@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "530 S Cowley St Ste 140",
            "city": "Spokane",
            "state": "WA",
            "country_code": "US",
            "postal_code": "992021316",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michael Joseph Olds
• Ileisa India Amana Oleson
• Olin J Bittner Psychology and Consulting Services, PLLC
• Cecil Michael Olinger
• Nicole Marie Oliphant, MA, LMHCA
• Joseph Olivares Jr.
• Carson Alia Oliver, LMFTA
• Jennifer A Oliver, PA-C
• Jessica Oliver
• Miranda Wynne Oliver, RN

• Plastic Surgery Physician in Spokane, WA
• Providers in Spokane, WA by specialty
• Plastic Surgery Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.