Individual provider Active NPI

Andrew Oliver, D.O.

  • Internal Medicine Physician
  • Spring, TX
National Provider Identifier
1437599602
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
T2706 Issued in TX
Practice address
28420 Hardy Toll Rd Ste 205
Spring, TX 77373-8083
Phone
(346) 298-6523
Fax
(346) 298-6523
NPI assigned
Jul 2, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X T2706 TX Primary

Addresses

Primary practice location

28420 Hardy Toll Rd Ste 205
Spring, TX 77373-8083

Mailing address

35 Leaf Spring PL
Spring, TX 77382-1207
Phone (303) 263-9867

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20210106001396 OR Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 3678860335

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
14874CAMDOptometrist
T2706TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prohealth Partners a Medical Group Inc Multi-Specialty Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: andrew.oliver@160177656168452.direct.elationemr.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1372723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1437599602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 LEAF SPRING PL",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773821207",
            "telephone_number": "303-263-9867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28420 HARDY TOLL RD STE 205",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773738083",
            "telephone_number": "346-298-6523",
            "fax_number": "346-298-6523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "ANDREW",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-02",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "T2706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

Verify at the official NPI Registry.