Active NPI
Deanna Jo Oliver, PA-C
- Medical Physician Assistant
- Washington, DC
National Provider Identifier
1295968451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA031371
- Practice address
- 228 7TH St SE
Washington, DC 20003-4306 - Phone
- (202) 698-0795
- NPI assigned
- Sep 3, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA9104981 | FL | |
| Medical Physician Assistant | 363AM0700X | PA031371 | DC | Primary |
Addresses
Primary practice location
228 7TH St SE
Washington, DC 20003-4306
Mailing address
4613 Chestnut St
Bethesda, MD 20814-3723
Phone (904) 608-1090
Other practice location 1
3627 University Blvd S
Suite 300
Jacksonville, FL 32216-4230
Phone (904) 396-0300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9104981 | FL | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Georiga Fertility Institute | 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.
-
- Reproductive Endocrinology Physician
- Macon, GA
- NPI 1447390901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544140800000",
"number": "1295968451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4613 CHESTNUT ST",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208143723",
"telephone_number": "904-608-1090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "228 7TH ST SE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200034306",
"telephone_number": "202-698-0795"
}
],
"practiceLocations": [
{
"address_1": "3627 University Blvd S",
"address_2": "Suite 300",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322164230",
"country_code": "US",
"telephone_number": "904-396-0300",
"fax_number": "396-396-3039",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OLIVER",
"first_name": "DEANNA",
"middle_name": "JO",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-03",
"last_updated": "2018-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA9104981",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "DC",
"license": "PA031371",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.