Organization Active NPI

Em Oliver Inc

  • Internal Medicine Physician
  • Albany, MO
National Provider Identifier
1427201037
Registry record updated Oct 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
EM OLIVER INC
Practice address
1607 E US Highway 136
Albany, MO 64402-8223
Phone
(660) 726-3974
Fax
(660) 726-3851
NPI assigned
Oct 28, 2008
Last updated
Oct 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2008

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

Authorized official

Name
Nazer Oliver Soghrati
Title
President
Phone
(816) 914-6100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

1607 E US Highway 136
Albany, MO 64402-8223

Mailing address

1607 E US Highway 136
Albany, MO 64402-8223
Phone (660) 726-3974

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090129000058 MO Part B Supplier - Clinic/Group Practice 1850455395 Receives reassigned benefits from 1 practitioner
Practice locations: Albany, MO

National Provider Directory

National Provider Directory

Locations

29 Warrior Dr
Albany, MO 64402
Phone (660) 726-3974

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225152000000",
    "number": "1427201037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1607 E US HIGHWAY 136",
            "city": "ALBANY",
            "state": "MO",
            "postal_code": "644028223",
            "telephone_number": "660-726-3974",
            "fax_number": "660-726-3851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 E US HIGHWAY 136",
            "city": "ALBANY",
            "state": "MO",
            "postal_code": "644028223",
            "telephone_number": "660-726-3974",
            "fax_number": "660-726-3851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EM OLIVER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2008-10-28",
        "status": "A",
        "authorized_official_last_name": "SOGHRATI",
        "authorized_official_first_name": "NAZER",
        "authorized_official_middle_name": "OLIVER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-914-6100"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.