Active NPI
George F Olivier, P-AC
- Medical Physician Assistant
- Danville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 85002794
- Practice address
- 511 W Fairchild St
Danville, IL 61832-3801 - Phone
- (217) 431-2025
- Fax
- (217) 431-0014
- NPI assigned
- Sep 7, 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 85002794 | IL | Primary |
Addresses
Primary practice location
511 W Fairchild St
Danville, IL 61832-3801
Mailing address
511 W Fairchild St
Danville, IL 61832-3801
Phone (217) 431-2025
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 85002794 | Other | IL | STATE LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of North Dakota School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
302 N Main St
Georgetown, IL 61846-1728
Phone (217) 662-2282
511 W Fairchild St
Danville, IL 61832-3801
Phone (217) 431-2025
Hospital & facility affiliations
- Northwestern Medicine Central Dupage Hospital
- Osf Sacred Heart Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 85002794 | IL | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Practice Medical Center LTD | Current | Accepting new patients | |
| Gibson Community Hospital Association | Past | Accepting new patients |
Locations
511 W Fairchild St
Danville, IL 61832
Phone (217) 431-2025
302 N Main St
Georgetown, IL 61846
Phone (217) 662-2156
Organizations & group practices 3
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.
-
- Rural Health Clinic/Center
- Georgetown, IL
- NPI 1669654224
-
- Rural Health Clinic/Center
- Danville, IL
- NPI 1659312072
-
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Winfield, IL
- NPI 1003864810
-
- Psychiatric Hospital Unit
- Winfield, IL
- NPI 1740230895
-
- General Acute Care Hospital
- Danville, IL
- NPI 1699288449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114021581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "511 W FAIRCHILD ST",
"city": "DANVILLE",
"state": "IL",
"postal_code": "618323801",
"telephone_number": "217-431-2025",
"fax_number": "217-431-0014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 W FAIRCHILD ST",
"city": "DANVILLE",
"state": "IL",
"postal_code": "618323801",
"telephone_number": "217-431-2025",
"fax_number": "217-431-0014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVIER",
"first_name": "GEORGE",
"middle_name": "F",
"name_prefix": "Mr.",
"credential": "P-AC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "IL",
"license": "85002794",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "85002794",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Danville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.