Olivero Medical Health Center

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

MD455879 Issued in PA

Legal business name

OLIVERO MEDICAL HEALTH CENTER

Doing business as

Olivero Pediatrics

Practice address

1243 Skytop Mountain Rd Ste 4
Port Matilda, PA 16870-7725

Phone

(814) 499-3009

Fax

(814) 584-5751

NPI assigned

Dec 9, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Daniel Olivero, MDNPI 1588345094

Title

Chief Medical Officer

Phone

(814) 499-3009

Specialties & licenses 6

Addresses

Other identifiers 1

Other names 1

• Olivero Pediatrics Doing business as

Locations

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Olivero Medical Health Center

  • Pharmacy
  • Port Matilda, PA
  • NPI 1063144632
  NPPES parent name
• Olivero Medical Health Center

  • Clinical Medical Laboratory
  • Port Matilda, PA
  • NPI 1407593080
  NPPES parent name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel Olivero Jr., MA

  • Student in an Organized Health Care Education/Training Program
  • Port Matilda, PA
  • NPI 1588345094
  NPD Authorized official
• Jonathan Olivero, MA

  • Student in an Organized Health Care Education/Training Program
  • Port Matilda, PA
  • NPI 1295416709
  NPD

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

{
    "created_epoch": "1512777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745971200000",
    "number": "1386159564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1243 SKYTOP MOUNTAIN RD.",
            "address_2": "SUITE 4",
            "city": "PORT MATILDA",
            "state": "PA",
            "postal_code": "168707725",
            "telephone_number": "814-499-3009",
            "fax_number": "814-584-5751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1243 SKYTOP MOUNTAIN RD STE 4",
            "city": "PORT MATILDA",
            "state": "PA",
            "postal_code": "168707725",
            "telephone_number": "814-499-3009",
            "fax_number": "814-584-5751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVERO MEDICAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-09",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A",
        "authorized_official_last_name": "OLIVERO",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "814-499-3009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "PA",
            "license": "MD455879",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD455879",
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "PA",
            "license": "MD455879",
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PA",
            "license": "MD455879",
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1030548210001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Olivero Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Morgan Nickerson, DO
• Nittany Eye Associates LTD
• Adam W Norfolk, P.A.
• Mark S Okonski, MD
• Olivero Medical Health Center
• Olivero Medical Health Center
• Olivero Rural Health Center Inc
• Olivero Rural Laboratory Inc
• Olivero Rural Pharmacy, Inc
• Daniel Olivero Jr., MA

• Clinic/Center in Port Matilda, PA
• Providers in Port Matilda, PA by specialty
• Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; 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.