Sharon Nickell-Olm M D Family Medical Center, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SHARON NICKELL-OLM M D FAMILY MEDICAL CENTER, LLC

Practice address

2000 Prevatt St
Eustis, FL 32726-6149

Phone

(352) 357-2600

Fax

(352) 357-3400

NPI assigned

Oct 17, 2013

Organization subpart

No

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

Authorized official

Name

Sharon Ann Nickell-Olm, MDNPI 1407076052

Title

MD

Phone

(352) 357-2600

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 4

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

• Sharon Ann Nickell-Olm, M.D.

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Eustis, FL
  • NPI 1407076052
  Medicare reassignment Authorized official
• Debbie J Boyd, ARNP

  • Family Nurse Practitioner
  • Eustis, FL
  • NPI 1912903592
  Medicare reassignment NPD
• Marilyn Adrianne Mayne, D.O.

  • Obstetrics & Gynecology Physician
  • Eustis, FL
  • NPI 1750370722
  NPD (past)
• Mamie Mesie Rogers, M.D.

  • Obstetrics & Gynecology Physician
  • Tavares, FL
  • NPI 1912190505
  NPD (past)

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

{
    "created_epoch": "1381968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525737600000",
    "number": "1114355708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 PREVATT ST",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327266149",
            "telephone_number": "352-357-2600",
            "fax_number": "352-357-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 PREVATT ST",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327266149",
            "telephone_number": "352-357-2600",
            "fax_number": "352-357-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARON NICKELL-OLM M D FAMILY MEDICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-17",
        "last_updated": "2018-05-08",
        "status": "A",
        "authorized_official_last_name": "NICKELL-OLM",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "352-357-2600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Sellers, ARNP
• Daryl Sevilleno, PT
• Ramesh C Shah, M.D.
• Michael Evans Shaheen, PHARMD, R.PH.
• Shannon R. Weber Arnp LLC
• Kerryanne Shea, LMFT
• Amanda Shepard
• Shining Light Counseling
• Elizabeth Shirley
• Silver Lining Estates

• Family Medicine Physician in Eustis, FL
• Providers in Eustis, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.