Gregory Allen Oliver, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

02000756A Issued in IN

Practice address

5645 Lafayette Rd Ste B
Indianapolis, IN 46254-1103

Phone

(317) 387-3050

Fax

(317) 295-7044

NPI assigned

Jun 8, 2005

Last updated

Sep 21, 2012By 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 IN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gregoryoliver@ofh.allscriptsdirect.net

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.

• Oliver Family Healthcare PC

  • Family Nurse Practitioner
  • Indianapolis, IN
  • NPI 1083667653

  Family Medicine

  Medicare reassignment NPD
• Eagle Creek Urgent Care LLC

  • Urgent Care Clinic/Center
  • Indianapolis, IN
  • NPI 1316715105
  NPD (past)
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)

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

{
    "created_epoch": "1118188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348185600000",
    "number": "1285638254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5645 LAFAYETTE RD STE B",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462541103",
            "telephone_number": "317-387-3050",
            "fax_number": "317-295-7044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5645 LAFAYETTE RD STE B",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462541103",
            "telephone_number": "317-387-3050",
            "fax_number": "317-295-7044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "GREGORY",
        "middle_name": "ALLEN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-08",
        "last_updated": "2012-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "02000756A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olive Branch Inc
• Olive Tree Medical Services LLC
• Oliver Family Healthcare PC
• Ashley Oliver, ATC
• Blake Oliver
• James Dakota Oliver, MSW
• Jasmin Oliver
• Kimberly June Oliver
• Laura Oliver
• Laura A Oliver, MSW, LCSW

• Family Medicine Physician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.