Active NPI
Michael Lee Oliver, DO
- Emergency Medicine Physician
- Altus, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 3686
- Practice address
- 1200 E Pecan St
Altus, OK 73521-6192 - Phone
- (580) 379-5000
- Fax
- (580) 379-5509
- NPI assigned
- Feb 15, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 3686 | OK | |
| Emergency Medicine Physician | 207P00000X | 3686 | OK | Primary |
Addresses
Primary practice location
1200 E Pecan St
Altus, OK 73521-6192
Mailing address
1200 E Pecan St
Altus, OK 73521-6192
Phone (580) 379-5000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100091740A | Medicaid | OK |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | him@direct.jcmh.com |
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Oklahoma State University College of Osteopathic Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
205 S Park LN
Suite 210
Altus, OK 73521-5757
Phone (580) 379-6650
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.91 of 100
- Quality
- 76.55
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Services of Oklahoma PC | Emergency Medicine | Current | Accepting new patients |
| McCurtain Memorial Medical Management, Inc. | Current | Accepting new patients | |
| McCurtain Memorial Medical Management, Inc. | Current | Accepting new patients | |
| Jackson County Memorial Hospital Authority | Current | Accepting new patients | |
| Jackson County Memorial Hospital Authority | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of Oklahoma TCS LLC | Emergency Medicine | Current | Accepting new patients |
| Jackson County Memorial Hosp Phcy | Past | Accepting new patients | |
| Panhandle Womens Center P L L C | Past | Accepting new patients | |
| Uhs of Oklahoma, LLC | Past | Accepting new patients |
Locations
1200 E Pecan St
Altus, OK 73521
Phone (580) 379-5000
205 S Park Ln
Ste 210
Altus, OK 73521
Phone (580) 379-6650
1800 W 1st St
Ste 3
Elk City, OK 73644
Phone (580) 225-4699
600 S Monroe St
Enid, OK 73701
Phone (580) 233-2300
1301 E Lincoln Rd
Idabel, OK 74745
Phone (580) 208-3103
5602 SW Lee Blvd
Lawton, OK 73505
Phone (580) 531-4700
1 Wickersham St
Mangum, OK 73554
Phone (580) 782-3353
4050 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 608-3200
900 17th St
Woodward, OK 73801
Phone (405) 610-4411
Interoperability endpoints
- him@direct.jcmh.com
Organizations & group practices 9
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.
-
- General Acute Care Hospital
- Altus, OK
- NPI 1093763781
-
- Emergency Medicine Physician
- Norman, OK
- NPI 1215249891
-
- Emergency Medicine Physician
- Lawton, OK
- NPI 1043932486
-
dba McCurtain Memorial Hospital
- Rural Acute Care Hospital
- Idabel, OK
- NPI 1629020177
-
dba Harmon Memorial Hospital
- Critical Access Hospital
- Hollis, OK
- NPI 1295735991
-
dba McCurtain Memorial Surgical Clinic
- Surgery Physician
- Idabel, OK
- NPI 1356506109
-
dba Jackson County Memorial Hospital Pharmacy
- Institutional Pharmacy
- Altus, OK
- NPI 1518028380
-
- Specialist
- Guymon, OK
- NPI 1336172857
-
dba St. Mary's Regional Medical Center
- General Acute Care Hospital
- Enid, OK
- NPI 1417947466
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Altus, OK
- NPI 1093763781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737936000000",
"number": "1326181777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 E PECAN ST",
"city": "ALTUS",
"state": "OK",
"postal_code": "735216192",
"telephone_number": "580-379-5000",
"fax_number": "580-379-5509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 E PECAN ST",
"city": "ALTUS",
"state": "OK",
"postal_code": "735216192",
"telephone_number": "580-379-5000",
"fax_number": "580-379-5509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVER",
"first_name": "MICHAEL",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-15",
"last_updated": "2025-01-27",
"certification_date": "2025-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "3686",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OK",
"license": "3686",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100091740A",
"state": "OK"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "him@direct.jcmh.com",
"affiliation": "N",
"address_1": "1200 E Pecan St",
"city": "Altus",
"state": "OK",
"country_code": "US",
"postal_code": "735216192",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Altus, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; 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.