Active NPI
Joe A Olivi, MD
- Surgery Physician
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- ME152122
- Practice address
- 9430 Turkey Lake Rd Ste 114
Orlando, FL 32819-8015 - Phone
- (407) 354-1202
- Fax
- (407) 351-8801
- NPI assigned
- Sep 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | E11250 | AR | |
| Surgery Physician | 208600000X | 2008035007 | MO | |
| Surgery Physician | 208600000X | ME152122 | FL | Primary |
Addresses
Primary practice location
9430 Turkey Lake Rd Ste 114
Orlando, FL 32819-8015
Mailing address
9430 Turkey Lake Rd Ste 114
Orlando, FL 32819-8015
Phone (407) 354-1202
Other practice location 1
1 Hospital Dr
Columbia, MO 65212-0001
Phone (573) 884-1615
Other practice location 2
1 Childrens Way # 653
Little Rock, AR 72202-3500
Phone (501) 364-1100
Other practice location 3
100 Mercy Way Ste 440
Joplin, MO 64804-4524
Phone (417) 781-4404
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 111433200 | Medicaid | FL | |
| 200057404 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, AR, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Mercy Way
440 General and Specialty Surgery
Joplin, MO 64804-4524
Phone (417) 781-4404
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E11250 | AR | MD | Surgery Physician |
| 2008035007 | MO | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arkansas Childrens Hospital | Current | Accepting new patients | |
| Mercy Health Northwest Arkansas Communities | Current | Accepting new patients | |
| Northwest Physicians LLC | Current | Accepting new patients | |
| Mercy Health Northwest Arkansas Communities | Current | Accepting new patients | |
| Mercy Health Northwest Arkansas Communities | Surgery | Current | Accepting new patients |
| Florida Clinical Practice Association Inc | Surgery | Current | Accepting new patients |
| University of Arkansas for Medical Sciences | Current | Accepting new patients | |
| Arkansas Children'S Hospital | Current | Accepting new patients | |
| Mercy Clinic Joplin LLC | Surgery | Current | Accepting new patients |
| Northwest Physicians LLC | Current | Accepting new patients | |
| University of Arkansas for Medical Sciences | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Mercy Health Northwest Arkansas Communities | Current | Accepting new patients | |
| St Mary'S Physician Services LLC | Current | Accepting new patients | |
| University of Arkansas for Medical Sciences | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| St Marys Physician Services, LLC | Current | Accepting new patients | |
| Florida Clinical Practice Association Inc | Current | Accepting new patients | |
| St Marys Physician Services, LLC | Past | Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients |
Locations
3101 SE 14th St
Bentonville, AR 72712
Phone (479) 631-2100
4301 W Markham St
Ste 528
Little Rock, AR 72205
1 Childrens Way
#653
Little Rock, AR 72202
Phone (501) 614-2006
1 Childrens Way
Little Rock, AR 72202
Phone (501) 364-1874
4301 W Markham St
#528
Little Rock, AR 72205
Phone (501) 614-2006
1001 S Horsebarn Rd
Rogers, AR 72758
Phone (479) 273-7700
101 Skyline Dr
Russellville, AR 72801
Phone (479) 968-2345
601 W Maple Ave
Ste 403
Springdale, AR 72764
Phone (479) 750-2742
1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077
2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990
1600 SW Archer Rd
#100109
Gainesville, FL 32610
32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820
9430 Turkey Lake Rd
Ste 114
Orlando, FL 32819
Phone (407) 354-1202
1 Hospital Dr
Columbia, MO 65212
Phone (573) 882-2568
100 Mercy Way
#440
Joplin, MO 64804
Phone (417) 781-4404
100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300
100 Mercy Way
Ste 440
Joplin, MO 64804
Phone (417) 781-4404
1605 Martin Springs Dr
Ste 330
Rolla, MO 65401
Phone (573) 458-6379
Organizations & group practices 20
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.
-
- Surgery Physician
- Gainesville, FL
- NPI 1063463768
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1669429577
-
- Pediatrics Physician
- Little Rock, AR
- NPI 1598773079
-
- Multi-Specialty Clinic/Center
- Rogers, AR
- NPI 1265490916
-
- Surgery Physician
- Rogers, AR
- NPI 1538460662
-
- Obstetrics Physician
- Springdale, AR
- NPI 1194768721
-
- General Practice Physician
- Russellville, AR
- NPI 1124084991
-
- Pediatrics Physician
- Little Rock, AR
- NPI 1346230968
-
- Durable Medical Equipment & Medical Supplies
- Ocala, FL
- NPI 1609529478
-
- Durable Medical Equipment & Medical Supplies
- Winter Park, FL
- NPI 1265019541
-
- Children's Hospital
- Little Rock, AR
- NPI 1477561983
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Joplin, MO
- NPI 1700112745
-
- General Acute Care Hospital
- Pittsburg, KS
- NPI 1639921430
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712620800000",
"number": "1578663191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9430 TURKEY LAKE RD STE 114",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328198015",
"telephone_number": "407-354-1202",
"fax_number": "407-351-8801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9430 TURKEY LAKE RD STE 114",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328198015",
"telephone_number": "407-354-1202",
"fax_number": "407-351-8801"
}
],
"practiceLocations": [
{
"address_1": "1 Hospital Dr",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "MO",
"postal_code": "652120001",
"country_code": "US",
"telephone_number": "573-884-1615",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Childrens Way # 653",
"address_purpose": "LOCATION",
"city": "Little Rock",
"state": "AR",
"postal_code": "722023500",
"country_code": "US",
"telephone_number": "501-364-1100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Mercy Way Ste 440",
"address_purpose": "LOCATION",
"city": "Joplin",
"state": "MO",
"postal_code": "648044524",
"country_code": "US",
"telephone_number": "417-781-4404",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OLIVI",
"first_name": "JOE",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-24",
"last_updated": "2024-04-09",
"certification_date": "2024-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "AR",
"license": "E11250",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MO",
"license": "2008035007",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "ME152122",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "111433200",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200057404",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.