Olive Branch Medical LLC

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

Legal business name

OLIVE BRANCH MEDICAL LLC

Practice address

3411 Silverside Rd # 102
Wilmington, DE 19810-4812

Phone

(302) 992-8310

Fax

(662) 214-6092

NPI assigned

Jun 24, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Amy Zhang, MD

Title

Medical Director

Phone

(443) 718-9470

Specialties & licenses 2

Addresses

Other names 1

• Olive Branch Medical Systems Doing business as

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633305600000",
    "number": "1144846197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 HARLAN BLVD UNIT 404",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198015170",
            "telephone_number": "443-718-9470",
            "fax_number": "662-214-6092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3411 SILVERSIDE RD # 102",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104812",
            "telephone_number": "302-992-8310",
            "fax_number": "662-214-6092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVE BRANCH MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-24",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A",
        "authorized_official_last_name": "ZHANG",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "443-718-9470",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Olive Branch Medical Systems",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Olive Branch Medical Systems",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yvonne Olayemi, MD
• Kristina Oldaker, DPT
• Maureen Olejar, PT
• Eric J Oliet, MD
• Sergio Oliva
• Laura L. Oliver, PA-C
• Mark Douglas Oliver, D.D.S.
• Abimbola O. Olowo, MD
• Eunice Olayemi Olowomeye, MD
• Jill Olshenske

• Rheumatology Physician in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Rheumatology Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; 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.