Individual provider Active NPI

Emily Elizabeth Olinger, DO

  • Family Medicine Physician
  • Altus Afb, OK
National Provider Identifier
1205458510
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2023-02338 Issued in NC
Practice address
97TH Medical Group
301 N. First St
Altus Afb, OK 73523
Phone
(580) 481-5405
NPI assigned
May 8, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2023-02338 NC Primary

Addresses

Primary practice location

97TH Medical Group
301 N. First St
Altus Afb, OK 73523

Mailing address

607 Beaman St
Clinton, NC 28328
Phone (910) 592-8511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210112001187 NC Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 6204249261

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2023-02338NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1588896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1205458510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 BEAMAN ST",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "28328",
            "telephone_number": "910-592-8511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97TH MEDICAL GROUP",
            "address_2": "301 N. FIRST ST",
            "city": "ALTUS AFB",
            "state": "OK",
            "postal_code": "73523",
            "telephone_number": "580-481-5405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLINGER",
        "first_name": "EMILY",
        "middle_name": "ELIZABETH",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-08",
        "last_updated": "2024-08-01",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2023-02338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altus Afb, OK

Sources for this page

Verify at the official NPI Registry.