Active NPI
Joel Richard Oliver, MD
- Family Medicine Physician
- Lugoff, SC
National Provider Identifier
1093771065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 14459
- Practice address
- 1060 Highway 1 S
Lugoff, SC 29078-9630 - Phone
- (803) 438-9759
- Fax
- (803) 438-9783
- NPI assigned
- Apr 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 14459 | SC | Primary |
Addresses
Primary practice location
1060 Highway 1 S
Lugoff, SC 29078-9630
Mailing address
1818 Henderson St
Columbia, SC 29201-2647
Phone (803) 758-2600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 144597 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doctors Care SC, PA | Family Medicine | Past | Accepting new patients |
| Doctors Care, PA | Family Medicine | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Lugoff, SC
- NPI 1720327687
-
- Family Medicine Physician
- Columbia, SC
- NPI 1366499048
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253059200000",
"number": "1093771065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1818 HENDERSON ST",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292012647",
"telephone_number": "803-758-2600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1060 HIGHWAY 1 S",
"city": "LUGOFF",
"state": "SC",
"postal_code": "290789630",
"telephone_number": "803-438-9759",
"fax_number": "803-438-9783"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVER",
"first_name": "JOEL",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-26",
"last_updated": "2009-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "14459",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "144597",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lugoff, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.