Active NPI
Therese F Oliver, CRNA
- Certified Registered Nurse Anesthetist
- Johnson City, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4745811
- Practice address
- 156 Corliss Ave
Suite 107
Johnson City, NY 13790-2060 - Phone
- (607) 763-6735
- Fax
- (607) 763-6736
- NPI assigned
- Jan 12, 2011
- Last updated
- Nov 12, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 4745811 | NY | Primary |
Addresses
Primary practice location
156 Corliss Ave
Suite 107
Johnson City, NY 13790-2060
Mailing address
40 Front St
Ste C
Binghamton, NY 13905-4712
Phone (607) 722-7264
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Albany Medical College of Union University, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
169 Riveride Dr
Binghamton, NY 13905-4246
Phone (607) 722-7264
4309 Medical Ctr Dr
Fayetteville, NY 13066-6638
Phone (315) 329-7300
4900 Broad Rd
Syracuse, NY 13215-2265
Phone (315) 498-6200
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4745811 | NY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Agcny Physicians PLLC | Current | Accepting new patients | |
| Riverside Associates in Anesthesia PC | Current | Accepting new patients | |
| Chag Anesthesia PC | Current | Accepting new patients | |
| Upstate Medical Anesthesiology Group, Inc. | Current | Accepting new patients | |
| United Health Services Hospitals, Inc. | Current | Accepting new patients |
Locations
169 Riverside Dr
Binghamton, NY 13905
Phone (607) 798-5111
4309 Medical Center Dr
Fayetteville, NY 13066
Phone (315) 329-7300
4900 Broad Rd
Syracuse, NY 13215
Phone (315) 492-5011
5784 Widewaters Pkwy
Ste 2
Syracuse, NY 13214
Phone (315) 469-1134
750 E Adams St
Syracuse, NY 13210
Phone (315) 464-4363
Organizations & group practices 5
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.
-
- Anesthesiology Physician
- Fayetteville, NY
- NPI 1033497136
-
- Anesthesiology Physician
- Syracuse, NY
- NPI 1740279017
-
- Anesthesiology Physician
- Binghamton, NY
- NPI 1740276203
-
- Multi-Specialty Clinic/Center
- Johnson City, NY
- NPI 1962463851
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1851485759
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Lourdes
- General Acute Care Hospital
- Binghamton, NY
- NPI 1629087580
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1578554630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636675200000",
"number": "1306141940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 FRONT ST",
"address_2": "STE C",
"city": "BINGHAMTON",
"state": "NY",
"postal_code": "139054712",
"telephone_number": "607-722-7264",
"fax_number": "607-722-7869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "156 CORLISS AVE",
"address_2": "SUITE 107",
"city": "JOHNSON CITY",
"state": "NY",
"postal_code": "137902060",
"telephone_number": "607-763-6735",
"fax_number": "607-763-6736"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVER",
"first_name": "THERESE",
"middle_name": "F",
"name_prefix": "Mrs.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-12",
"last_updated": "2021-11-12",
"certification_date": "2021-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NY",
"license": "4745811",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Johnson City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.