Harry James Olivella, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA02107 Issued in TX

Practice address

404 N Kaufman St
Linden, TX 75563-5234

Phone

(903) 756-5561

NPI assigned

May 27, 2006

Last updated

Mar 4, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rowland Flatt ClinicGroup PAC ID 9830186824, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Pushmataha Hospital Hospital, Antlers, OK, CCN 370083

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Rowland Flatt Clinic

  • Medical Specialty Clinic/Center
  • Antlers, OK
  • NPI 1013908441
  Medicare reassignment Care Compare group
• Pushmataha County Hospital Authority

  dba Pushmataha Hospital

  • Rural Acute Care Hospital
  • Antlers, OK
  • NPI 1144212556
  Medicare reassignment
• D&D Sports Med Sanger, LLC

  • Physical Therapy Clinic/Center
  • Sanger, TX
  • NPI 1154366458
  NPD (past)
• Four States Emergency Physicians

  • Emergency Medicine Physician
  • Texarkana, TX
  • NPI 1922051440
  NPD (past)
• Texas Em-1 Medical Services, PA

  • Physician Assistant
  • Texarkana, TX
  • NPI 1558314062
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Pushmataha County Hospital Authority

  dba Pushmataha Hospital

  • Rural Acute Care Hospital
  • Antlers, OK
  • NPI 1144212556
  Care Compare affiliation

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236124800000",
    "number": "1265489322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2701",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756062701",
            "telephone_number": "903-315-5704",
            "fax_number": "903-315-2907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 N KAUFMAN ST",
            "city": "LINDEN",
            "state": "TX",
            "postal_code": "755635234",
            "telephone_number": "903-756-5561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVELLA",
        "first_name": "HARRY",
        "middle_name": "JAMES",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2009-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA02107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linden Drug Co Inc
• Linden-Kildare Cisd
• Shaunna Sue Mitchell, D.O.
• Nexion Health at Linden, Inc (Linden Healthcare Center)
• Noas Home and Healthcare Solutions
• Morgan Pope, ATC
• Powers Pharmacy No 1 Inc
• Powers Pharmacy No 1 Inc
• Barry Powers
• Diana Powers

• Physician Assistant in Linden, TX
• Providers in Linden, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2009; 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.

Verify at the official NPI Registry.