Vincent J Oliverio, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

10523 Issued in WV

Practice address

117 Hospital Dr
Petersburg, WV 26847-9566

Phone

(304) 257-1026

NPI assigned

Jun 8, 2021

Last updated

Sep 5, 2024By 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 WV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Grant Memorial Hospital IncGroup PAC ID 4183082712, 38 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Grant Memorial Hospital Hospital, Petersburg, WV, CCN 511316
• Grant Memorial Hospital Nursing home, CCN 51Z316

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Grant Memorial Hospital Inc

  • Critical Access Hospital
  • Petersburg, WV
  • NPI 1013603919
  Medicare reassignment Care Compare group NPD
• Grant Memorial Hospital Inc

  • Family Medicine Physician
  • Petersburg, WV
  • NPI 1679269583
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Grant Memorial Hospital Inc

  • Critical Access Hospital
  • Petersburg, WV
  • NPI 1013603919
  Care Compare affiliation

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

{
    "created_epoch": "1623110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1366019390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 BEECH HILL RD NW",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447204715",
            "telephone_number": "330-697-7691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 HOSPITAL DR",
            "city": "PETERSBURG",
            "state": "WV",
            "postal_code": "268479566",
            "telephone_number": "304-257-1026"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 E State St",
            "address_purpose": "LOCATION",
            "city": "Alliance",
            "state": "OH",
            "postal_code": "446014936",
            "country_code": "US",
            "telephone_number": "330-596-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLIVERIO",
        "first_name": "VINCENT",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-08",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "WV",
            "license": "10523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• National Emergency Services West Virginia Inc
• Corey Nau
• Zizi Ndlazi
• New Life Healthcare LLC
• Lori Nieves
• Cassie Ours
• Shirley J Ours
• Teresa Ours
• Emma Parker
• Zachary Parrill

• Podiatrist in Petersburg, WV
• Providers in Petersburg, WV by specialty
• Podiatrist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; 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.

Verify at the official NPI Registry.