Individual provider Active NPI

Joshua Oliver, M.D.

  • Emergency Medicine Physician
  • Tacoma, WA
National Provider Identifier
1528488301
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
0101259500 Issued in VA
Practice address
9040 Jackson Ave
Tacoma, WA 98431-4504
Phone
(360) 393-9024
NPI assigned
Apr 21, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X R3393 TX
Emergency Medicine Physician 207P00000X 0101259500 VA Primary

Addresses

Primary practice location

9040 Jackson Ave
Tacoma, WA 98431-4504

Mailing address

9040 Jackson Ave
Tacoma, WA 98431-0001
Phone (360) 393-9024

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180409001878 TX Practitioner - Emergency Medicine 8921361734 Reassigns benefits to 2 organizations
I20210129002399 WA Practitioner - Emergency Medicine 8921361734 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R3393TXMDEmergency Medicine Physician
0101259500VAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Victoria Emergency Associates LLC Emergency Medicine CurrentSince Dec 16, 2018 Accepting new patients
Victoria Emergency Partners LLC Emergency Medicine CurrentSince Mar 2, 2018 Accepting new patients
Public Hospital District No 1 of Mason County Wa CurrentSince Dec 15, 2024 Accepting new patients
Olympia Emergency Services, PLLC Emergency Medicine CurrentSince Feb 1, 2021 Accepting new patients
Public Hospital District No 1 of Mason County CurrentSince Dec 15, 2024 Accepting new patients

Locations

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

506 E San Antonio St
Victoria, TX 77901
Phone (361) 575-1445

413 Lilly Rd NE
Olympia, WA 98506
Phone (360) 491-9480

901 Mountain View Dr
Shelton, WA 98584
Phone (360) 426-1611

Organizations & group practices 5

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": "1398038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1528488301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9040 JACKSON AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984310001",
            "telephone_number": "360-393-9024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9040 JACKSON AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984314504",
            "telephone_number": "360-393-9024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "JOSHUA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-21",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "R3393",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101259500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.