Individual provider Active NPI

Louie E Olive, MD

  • Family Medicine Physician
  • Londonderry, NH
National Provider Identifier
1285088450
Registry record updated Jul 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
19739 Issued in NH
Practice address
40 Buttrick Rd
Londonderry, NH 03053-3381
Phone
(603) 552-1400
NPI assigned
Apr 14, 2016
Last updated
Jul 31, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2019

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 19739 NH Primary

Addresses

Primary practice location

40 Buttrick Rd
Londonderry, NH 03053-3381

Mailing address

40 Buttrick Rd
Londonderry, NH 03053-3381
Phone (603) 552-1400

Other practice location 1

40 Buttrick Rd Ste 1500
Londonderry, NH 03053-3381
Phone (603) 552-1550 ext. 60355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20190903001192 NH Practitioner - Family Practice 4688965056 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
JC Edwards School of Medicine, Marshall University, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Elliot Professional ServicesGroup PAC ID 6103727920, 429 clinicians
Elliot Physicians NetworkGroup PAC ID 6406743988, 78 clinicians

Practice addresses (Care Compare)

1 Elliot Way
Manchester, NH 03103-3502
Phone (603) 622-6484

40 Butrrick Rd
Londonderry, NH 03053-3381
Phone (603) 434-1919

One Elliot Way
100 Elliot Cardiovascular Consultants
Manchester, NH 03103-3502
Phone (603) 627-1669

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19739NHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elliot Physicians Network Family Medicine CurrentSince Sep 9, 2019 Accepting new patients

Locations

25 S River Rd
Bedford, NH 03110
Phone (603) 626-4392

40 Buttrick Rd
Londonderry, NH 03053
Phone (603) 552-1400

40 Buttrick Rd
#B
Londonderry, NH 03053

40 Buttrick Rd
Ste 105
Londonderry, NH 03053

40 Buttrick Rd
Ste 1500
Londonderry, NH 03053
Phone 6035521550 ext. 60355

1 Elliot Way
Manchester, NH 03103
Phone (603) 663-2271

275 Mammoth Rd
Ste 1
Manchester, NH 03109
Phone (603) 663-3222

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1460592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564531200000",
    "number": "1285088450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 BUTTRICK RD",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "030533381",
            "telephone_number": "603-552-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 BUTTRICK RD",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "030533381",
            "telephone_number": "603-552-1400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 Buttrick Rd Ste 1500",
            "address_purpose": "LOCATION",
            "city": "Londonderry",
            "state": "NH",
            "postal_code": "030533381",
            "country_code": "US",
            "telephone_number": "603-552-1550 x60355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLIVE",
        "first_name": "LOUIE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-14",
        "last_updated": "2019-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "19739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Londonderry, NH

Sources for this page

Verify at the official NPI Registry.