NPIMap

Organization Active NPI

Olive Tree Healthcare PC

  • Internal Medicine Physician
  • Andalusia, AL
National Provider Identifier
1538337035
Registry record updated Feb 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
28503 Issued in AL
Legal business name
OLIVE TREE HEALTHCARE PC
Practice address
301 Medical Avenue
Suite B
Andalusia, AL 36420
Phone
(334) 222-8734
Fax
(334) 222-8736
NPI assigned
Feb 19, 2008
Last updated
Feb 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2008

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

Authorized official

Name
Rainer Alejandro Birk, MDNPI 1487628111
Title
MD/President
Phone
(334) 222-8734

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 28503 AL Primary

Addresses

Primary practice location

301 Medical Avenue
Suite B
Andalusia, AL 36420

Mailing address

301 Medical Avenue
Suite B
Andalusia, AL 36420
Phone (334) 222-8734

National Provider Directory

National Provider Directory

Locations

301 Medical Ave
Ste B
Andalusia, AL 36420
Phone (334) 494-8200

Practitioners & affiliated clinicians

Practitioners 1

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": "1203379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203379200000",
    "number": "1538337035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 MEDICAL AVENUE",
            "address_2": "SUITE B",
            "city": "ANDALUSIA",
            "state": "AL",
            "postal_code": "36420",
            "telephone_number": "334-222-8734",
            "fax_number": "334-222-8736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MEDICAL AVENUE",
            "address_2": "SUITE B",
            "city": "ANDALUSIA",
            "state": "AL",
            "postal_code": "36420",
            "telephone_number": "334-222-8734",
            "fax_number": "334-222-8736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVE TREE HEALTHCARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-19",
        "last_updated": "2008-02-19",
        "status": "A",
        "authorized_official_last_name": "BIRK",
        "authorized_official_first_name": "RAINER",
        "authorized_official_middle_name": "ALEJANDRO",
        "authorized_official_title_or_position": "MD/PRESIDENT",
        "authorized_official_telephone_number": "334-222-8734",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "28503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Andalusia, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; 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.