Organization Active NPI

Wanderley Oliveira, MD, Professional Association

  • Obstetrics & Gynecology Physician
  • Dallas, TX
National Provider Identifier
1457607715
Registry record updated Oct 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
E1914 Issued in TX
Legal business name
WANDERLEY OLIVEIRA, MD, PROFESSIONAL ASSOCIATION
Practice address
5959 Harry Hines Blvd
Suite 1030
Dallas, TX 75235-6234
Phone
(214) 630-0009
Fax
(214) 634-2926
NPI assigned
Jul 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2012

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

Authorized official

Name
Ms. Kathy Kerley
Title
Office Manager
Phone
(214) 630-0018

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X E1914 TX Primary

Addresses

Primary practice location

5959 Harry Hines Blvd
Suite 1030
Dallas, TX 75235-6234

Mailing address

5959 Harry Hines Blvd
Suite 1030
Dallas, TX 75235-6234
Phone (214) 630-0009

Other identifiers 1

IdentifierTypeStateIssuer
031870101MedicaidTX

National Provider Directory

National Provider Directory

Locations

5959 Harry Hines Blvd
Ste 1030
Dallas, TX 75235
Phone (214) 630-0009

NPI Registry JSON

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

{
    "created_epoch": "1343088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351555200000",
    "number": "1457607715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 HARRY HINES BLVD",
            "address_2": "SUITE 1030",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752356234",
            "telephone_number": "214-630-0009",
            "fax_number": "214-634-2926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5959 HARRY HINES BLVD",
            "address_2": "SUITE 1030",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752356234",
            "telephone_number": "214-630-0009",
            "fax_number": "214-634-2926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WANDERLEY OLIVEIRA, MD, PROFESSIONAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-24",
        "last_updated": "2012-10-30",
        "status": "A",
        "authorized_official_last_name": "KERLEY",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "214-630-0018",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "E1914",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031870101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2012; 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.