Organization Active NPI

Oliinc MGMT & Consulting LLC

Doing business as MKR Medical

  • Durable Medical Equipment & Medical Supplies
  • Northfield, MN
National Provider Identifier
1366709362
Registry record updated Dec 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
OLIINC MGMT & CONSULTING LLC
Doing business as
MKR Medical
Practice address
1050 Highway 3 S
Northfield, MN 55057-3088
Phone
(507) 301-3701
Fax
(507) 301-3703
NPI assigned
Apr 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2012

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

Authorized official

Name
Matthew James Olivero
Title
Owner/Partner
Phone
(952) 457-2928

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1050 Highway 3 S
Northfield, MN 55057-3088

Mailing address

1050 Highway 3 S
Northfield, MN 55057-3088
Phone (507) 301-3701

Other identifiers 3

IdentifierTypeStateIssuer
0082-0001448OtherMEDICA
0082-0001448OtherMNSELECT CARE
1366709362MedicaidMN

Other names 1

  • MKR Medical Doing business as

National Provider Directory

National Provider Directory

Locations

1050 Highway 3 S
Northfield, MN 55057
Phone (507) 301-3701

NPI Registry JSON

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

{
    "created_epoch": "1334275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355875200000",
    "number": "1366709362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 HIGHWAY 3 S",
            "city": "NORTHFIELD",
            "state": "MN",
            "postal_code": "550573088",
            "telephone_number": "507-301-3701",
            "fax_number": "507-301-3703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 HIGHWAY 3 S",
            "city": "NORTHFIELD",
            "state": "MN",
            "postal_code": "550573088",
            "telephone_number": "507-301-3701",
            "fax_number": "507-301-3703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIINC MGMT & CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-13",
        "last_updated": "2012-12-19",
        "status": "A",
        "authorized_official_last_name": "OLIVERO",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "952-457-2928"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "0082-0001448",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELECT CARE",
            "identifier": "0082-0001448",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1366709362",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MKR Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Northfield, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.