Robert Anthony Olivi Jr., PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

19TH Medical Group 1090 Arnold Drive
Little Rock Air Force Base, AR 72099-0001

Phone

(501) 987-7319

NPI assigned

Feb 14, 2008

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 AR, TX2 enrollments

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2007

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  AR

  Medicare reassignment

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

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525132800000",
    "number": "1366610198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19TH MEDICAL GROUP 1090 ARNOLD DRIVE",
            "city": "LITTLE ROCK AIR FORCE BASE",
            "state": "AR",
            "postal_code": "720990001",
            "telephone_number": "501-987-7319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19TH MEDICAL GROUP 1090 ARNOLD DRIVE",
            "city": "LITTLE ROCK AIR FORCE BASE",
            "state": "AR",
            "postal_code": "720990001",
            "telephone_number": "501-987-7319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVI",
        "first_name": "ROBERT",
        "middle_name": "ANTHONY",
        "name_suffix": "Jr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-14",
        "last_updated": "2018-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Hingson
• Tawnya Lynette Horn, PHARM D
• Natalie Ann Korona, DNP, FNP-BC
• Kelly Lawrence, BSN, RN
• Marilou Merringer, LCSW
• Payton Quinnell
• Anne Marie Schmidt, D.D.S.
• Lauren Nicole Smith, RN
• Myra Rutledge Smith
• Charles Joseph Snyder, D.M.D.

• Physician Assistant in Little Rock Air Force Base, AR
• Providers in Little Rock Air Force Base, AR by specialty
• Physician Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2018; 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.