Organization Active NPI

Joseph J. Oliver MD,PC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Rock Springs, WY
National Provider Identifier
1437323334
Registry record updated Feb 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
2629A Issued in WY
Legal business name
JOSEPH J. OLIVER MD,PC
Practice address
1204 Hilltop Dr
Suite 103
Rock Springs, WY 82901-5861
Phone
(307) 362-7745
Fax
(307) 382-6615
NPI assigned
Apr 22, 2008
Last updated
Feb 2, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2011

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

Authorized official

Name
Dr. Joseph J. Oliver, MD,PC
Title
Physician
Phone
(307) 362-7745

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XX0005X 2629A WY Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

1204 Hilltop Dr
Suite 103
Rock Springs, WY 82901-5861

Mailing address

1204 Hilltop Dr
Suite 103
Rock Springs, WY 82901-5861
Phone (307) 362-7745

Other identifiers 2

IdentifierTypeStateIssuer
106379101OtherWYMEDICAID SUPPLY NUMBER
106379100MedicaidWY

National Provider Directory

National Provider Directory

Locations

1204 Hilltop Dr
#103
Rock Springs, WY 82901
Phone (307) 362-7745

1204 Hilltop Dr
Ste 103
Rock Springs, WY 82901
Phone (307) 362-7745

NPI Registry JSON

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296604800000",
    "number": "1437323334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 HILLTOP DR",
            "address_2": "SUITE 103",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829015861",
            "telephone_number": "307-362-7745",
            "fax_number": "307-382-6615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 HILLTOP DR",
            "address_2": "SUITE 103",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829015861",
            "telephone_number": "307-362-7745",
            "fax_number": "307-382-6615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH J. OLIVER MD,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2011-02-02",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "307-362-7745",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD,PC"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "WY",
            "license": "2629A",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID SUPPLY NUMBER",
            "identifier": "106379101",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106379100",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Springs, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2011; 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.