Individual provider Active NPI

Michael Lee Oliver, DO

  • Emergency Medicine Physician
  • Altus, OK
National Provider Identifier
1326181777
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
3686 Issued in OK
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

Updated by the provider on Jan 27, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100091740AMedicaidOK

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050823000014 OK Practitioner - Emergency MedicinePractitioner - Family Practice 6608807482 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Family Practice
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 100Reported as apm
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

OrganizationSpecialtyStatusNew patients
Emergency Services of Oklahoma PC Emergency Medicine CurrentSince Nov 1, 2013 Accepting new patients
McCurtain Memorial Medical Management, Inc. CurrentSince Jul 10, 2022 Accepting new patients
McCurtain Memorial Medical Management, Inc. CurrentSince Jul 10, 2022 Accepting new patients
Jackson County Memorial Hospital Authority CurrentSince Jul 8, 2024 Accepting new patients
Jackson County Memorial Hospital Authority CurrentSince Jul 8, 2024 Accepting new patients
Hospitalist Medicine Physicians of Oklahoma TCS LLC Emergency Medicine CurrentSince Jan 1, 2022 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.