Kaitlin Oliver, DO

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

009579 Issued in AZ

Practice address

3401 W Gore Blvd
Lawton, OK 73505-6332

Phone

(580) 585-5545

NPI assigned

Apr 12, 2019

Last updated

May 4, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Emergency Medicine

Education

Arizona College of Osteopathic Medicine Mid Western University, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Empower St Josephs PLLCGroup PAC ID 2961866173, 52 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Josephs Hospital and Medical Center Hospital, Phoenix, AZ, CCN 030024
• Oro Valley Hospital Hospital, Oro Valley, AZ, CCN 030114

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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.

• Empower St Josephs PLLC

  • Emergency Medicine Physician
  • Phoenix, AZ
  • NPI 1154015089
  Medicare reassignment Care Compare group NPD
• Emcare - PNX Emergency Physicians LLC

  • Emergency Medicine Physician
  • Phoenix, AZ
  • NPI 1902855992
  Medicare reassignment NPD
• Honorhealth

  dba HonorHealth Contract Providers

  • Surgery Physician
  • Scottsdale, AZ
  • NPI 1801092564

  Emergency Medicine

  Medicare reassignment NPD
• Northwest HBP Medical Services LLC

  • Emergency Medicine Physician
  • Tucson, AZ
  • NPI 1407353006
  Medicare reassignment NPD
• Progressive Medical Associates PLLC

  • Emergency Medicine Physician
  • Mesa, AZ
  • NPI 1548218613
  Medicare reassignment NPD
• Honorhealth

  dba HonorHealth Tina's Treasures

  • Prosthetic/Orthotic Supplier
  • Peoria, AZ
  • NPI 1386456762
  NPD

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

• Dignity Health

  dba St. Josephs Hospital and Medical Center Emergency Dept-Litchfield Park

  • Emergency Care Clinic/Center
  • Litchfield Park, AZ
  • NPI 1265065445

  Hospital

  Care Compare affiliation
• Dignity Health

  dba St. Josephs Hospital and Medical Center Emergency Dept-Glendale

  • Emergency Care Clinic/Center
  • Glendale, AZ
  • NPI 1609408665

  Hospital

  Care Compare affiliation
• Dignity Health

  dba St. Joseph's Hospital and Medical Center

  • General Acute Care Hospital
  • Phoenix, AZ
  • NPI 1982733655
  Care Compare affiliation
• Dignity Health

  dba St. Joseph's Westgate Medical Center

  • General Acute Care Hospital
  • Glendale, AZ
  • NPI 1992131734
  Care Compare affiliation
• Oro Valley Hospital LLC

  dba Oro Valley Hospital

  • General Acute Care Hospital
  • Oro Valley, AZ
  • NPI 1386697688
  Care Compare affiliation

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

{
    "created_epoch": "1555027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651622400000",
    "number": "1366905713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 W GORE BLVD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735056332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 W GORE BLVD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735056332",
            "telephone_number": "580-585-5545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "KAITLIN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-12",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "7022",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "009579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oklahoma Physical Therapy Lawton Spine Care Sports Rehab LLC
• Oklahoma State Department of Health
• Oladipo Igbekoyi MD PLLC
• Folake Esther Olaosebikan, MBBS
• Victor Olivencia, CBHCM-DC
• Olivo Mental Health, PLLC
• Ismael A Olivo-Montalvo
• Jose Andres Olivo
• Adeyem Olurotimi Oloyede, COTA/L
• Tanner Wayne Olsen, PHARMD

• Emergency Medicine Physician in Lawton, OK
• Providers in Lawton, OK by specialty
• Emergency Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2022; 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.