Active NPI
Oliver P Archibald, MD
- Hospitalist Physician
- Baldwin, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 289251
- Practice address
- 2807 Grand Ave
Baldwin, NY 11510-4033 - Phone
- (865) 207-8238
- NPI assigned
- Dec 13, 2005
- Last updated
- Nov 11, 2023
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 44390 | TN | |
| Internal Medicine Physician | 207R00000X | ME75799 | FL | |
| Hospitalist Physician | 208M00000X | 289251 | NY | Primary |
Addresses
Primary practice location
2807 Grand Ave
Baldwin, NY 11510-4033
Mailing address
2807 Grand Ave
Baldwin, NY 11510-4033
Phone (865) 207-8238
Other practice location 1
315 S Manning Blvd
Albany, NY 12208-1707
Phone (518) 525-1550
Other practice location 2
2215 Burdett Ave
Troy, NY 12180-2466
Phone (518) 271-3300
Other practice location 3
600 Northern Blvd
Albany, NY 12204-1004
Phone (518) 471-3221
Other practice location 4
1225 E Weisgarber Rd
Suite 200
Knoxville, TN 37909-2604
Phone (865) 584-4747
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 44725 | Other | FL | BSFL |
| 59068423 | Other | FL | BSAL |
| 7558225 | Other | FL | AETNA |
| 255856400 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, NH, NY, ME, IL, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 6
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 Kennedy Memorial Dr
Waterville, ME 04901-4526
Phone (207) 861-3000
240 S Main St
Wolfeboro, NH 03894-4411
Phone (603) 569-7500
3810 Plaza Way
Kennewick, WA 99338-2722
Phone (509) 221-7000
57 Water St
Blue Hill, ME 04614-5231
Phone (207) 374-3400
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44390 | TN | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Samaritan Hospital of Troy, New York | Internal Medicine | Current | Accepting new patients |
| Maine Medical Services LLC | Internal Medicine | Current | Accepting new patients |
| Southeastern Physician Services PC | Internal Medicine | Current | Accepting new patients |
| Deaconess Illinois Specialty Clinic, Inc. | Current | Accepting new patients | |
| Maury Regional Medical Group, Inc | Internal Medicine | Current | Accepting new patients |
| Deaconess Illinois Specialty Clinic, Inc. | Hospitalist | Current | Accepting new patients |
| App of Tennessee HM, PLLC | Emergency Medicine | Current | Accepting new patients |
| Deaconess Illinois Red Bud Regional Hospital Inc | Current | Accepting new patients | |
| Emergency Coverage, LLC | Emergency Medicine | Current | Accepting new patients |
| St. Peter's Hospital of the City of Albany | Internal Medicine | Current | Accepting new patients |
| St. Peter's Hospital of the City of Albany | Internal Medicine | Current | Accepting new patients |
| Hospital Medicine Services of Maine LLC | Hospitalist | Current | Accepting new patients |
| Maury Regional Hospital Marshall Medical Center | Current | Accepting new patients | |
| Deaconess Illinois Red Bud Regional Hospital Inc | Internal Medicine | Current | Accepting new patients |
| Summit Medical Group, PLLC | Internal Medicine | Current | Accepting new patients |
| Summit Medical Group, PLLC | Internal Medicine | Current | Accepting new patients |
| Westchester Medical Center Advanced Physician Services PC | Current | Accepting new patients | |
| Hospitalist Physicians of New Hampshire PC | Internal Medicine | Current | Accepting new patients |
| Westchester Medical Center Advanced Physician Services, PC | Current | Accepting new patients | |
| Cogent Medical Care PC | Internal Medicine | Current | Accepting new patients |
| Deaconess Illinois Specialty Clinic, Inc. | Internal Medicine | Current | Accepting new patients |
| West Florida Regional Medical Center | Internal Medicine | Past | Accepting new patients |
| Concord Hospital, Inc. | Emergency Medicine | Past | Accepting new patients |
| Maine Coast Regional Health Facilities | Past | Accepting new patients |
Locations
303 S Commercial St
Harrisburg, IL 62946
Phone (618) 767-6050
325 Spring St
Redbud, IL 62278
Phone (618) 282-5165
509 Hamacher St
Waterloo, IL 62298
Phone (618) 939-3939
57 Water St
Blue Hill, ME 04614
Phone (207) 374-3400
50 Union St
Ellsworth, ME 04605
Phone (207) 664-5304
447 N Main St
Pittsfield, ME 04967
Phone (207) 487-0981
200 Kennedy Memorial Dr
Waterville, ME 04901
Phone (207) 861-3000
240 S Main St
Wolfeboro, NH 03894
Phone (603) 515-2093
315 S Manning Blvd
Albany, NY 12208
Phone (518) 525-1852
600 Northern Blvd
Albany, NY 12204
Phone (518) 427-3331
169 Riverside Dr
Binghamton, NY 13905
Phone (607) 798-5111
565 Abbott Rd
Rm 8632
Buffalo, NY 14220
Phone (607) 798-5671
101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100
2215 Burdett Ave
Troy, NY 12180
Phone (518) 271-3300
95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961
651 Dunlop Ln
Clarksville, TN 37040
Phone (931) 502-1000
2305 Chambliss Ave NW
Cleveland, TN 37311
Phone (423) 559-6000
854 W James M Campbell Blvd
Ste 303
Columbia, TN 38401
Phone (931) 388-8779
1225 E Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 938-3627
1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244
1080 N Ellington Pkwy
Lewisburg, TN 37091
Phone (615) 359-6241
2835 Highway 231 N
Shelbyville, TN 37160
Phone (931) 685-5433
1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061
Interoperability endpoints
- oarchiba@yourcarecommunity.org
Organizations & group practices 25
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Hospitalist Physician
- Ellsworth, ME
- NPI 1538638432
-
- Hospitalist Physician
- Wolfeboro, NH
- NPI 1902420193
Internal Medicine
-
- Internal Medicine Physician
- East Patchogue, NY
- NPI 1912941238
-
- General Acute Care Hospital
- Troy, NY
- NPI 1043267727
Internal Medicine
-
dba St. Peter's Hospital
- General Acute Care Hospital
- Albany, NY
- NPI 1518042357
Internal Medicine
-
- Surgery Physician
- Valhalla, NY
- NPI 1912131392
-
dba Deaconess Illinois Rural Health Clinic Red Bud
- Rural Health Clinic/Center
- Red Bud, IL
- NPI 1619693926
Internal Medicine
-
dba Deaconess IL Specialty 3331 DeYoung
- Surgery Physician
- Marion, IL
- NPI 1972210235
Internal Medicine
-
dba Emergency Coverage Corporation of TeamHealth
- Family Medicine Physician
- Newport, TN
- NPI 1427005008
Emergency Medicine
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Wolfeboro, NH
- NPI 1366476079
-
dba Huggins Swing
- Medicare Defined Swing Bed Hospital Unit
- Wolfeboro, NH
- NPI 1518094663
Nursing home
-
dba Moultonborough Family Medicine
- Family Medicine Physician
- Moultonborough, NH
- NPI 1639166077
Hospital
-
dba Alton Family Medicine
- Family Medicine Physician
- Alton, NH
- NPI 1871534792
Hospital
-
dba Lourdes Inpatient Rehabilitation Facility
- Rehabilitation Hospital Unit
- Pasco, WA
- NPI 1497817654
Inpatient rehabilitation facility
-
dba Northern Light Maine Coast Hospital
- General Acute Care Hospital
- Ellsworth, ME
- NPI 1740249739
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699660800000",
"number": "1174508105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2807 GRAND AVE",
"city": "BALDWIN",
"state": "NY",
"postal_code": "115104033",
"telephone_number": "865-207-8238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2807 GRAND AVE",
"city": "BALDWIN",
"state": "NY",
"postal_code": "115104033",
"telephone_number": "865-207-8238"
}
],
"practiceLocations": [
{
"address_1": "315 S Manning Blvd",
"address_purpose": "LOCATION",
"city": "Albany",
"state": "NY",
"postal_code": "122081707",
"country_code": "US",
"telephone_number": "518-525-1550",
"fax_number": "518-525-6545",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2215 Burdett Ave",
"address_purpose": "LOCATION",
"city": "Troy",
"state": "NY",
"postal_code": "121802466",
"country_code": "US",
"telephone_number": "518-271-3300",
"fax_number": "518-271-3440",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "600 Northern Blvd",
"address_purpose": "LOCATION",
"city": "Albany",
"state": "NY",
"postal_code": "122041004",
"country_code": "US",
"telephone_number": "518-471-3221",
"fax_number": "518-471-4912",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1225 E Weisgarber Rd",
"address_2": "Suite 200",
"address_purpose": "LOCATION",
"city": "Knoxville",
"state": "TN",
"postal_code": "379092604",
"country_code": "US",
"telephone_number": "865-584-4747",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ARCHIBALD",
"first_name": "OLIVER",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-13",
"last_updated": "2023-11-11",
"certification_date": "2023-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TN",
"license": "44390",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME75799",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NY",
"license": "289251",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BSFL",
"identifier": "44725",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BSAL",
"identifier": "59068423",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7558225",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "255856400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baldwin, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2023; 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.