Active NPI
Sharon Anice Oliver, M.D.
- Internal Medicine Physician
- Detroit, MI
National Provider Identifier
1619044740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301053450
- Practice address
- 18714 Woodward Ave
Detroit, MI 48203-1965 - Phone
- (313) 368-2284
- Fax
- (313) 368-4596
- NPI assigned
- Nov 30, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301053450 | MI | Primary |
Addresses
Primary practice location
18714 Woodward Ave
Detroit, MI 48203-1965
Mailing address
18714 Woodward Ave
Detroit, MI 48203-1965
Phone (313) 368-2284
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OM70080 | Other | MI | NATIONAL PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619044740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18714 WOODWARD AVE",
"city": "DETROIT",
"state": "MI",
"postal_code": "482031965",
"telephone_number": "313-368-2284",
"fax_number": "313-368-4596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18714 WOODWARD AVE",
"city": "DETROIT",
"state": "MI",
"postal_code": "482031965",
"telephone_number": "313-368-2284",
"fax_number": "313-368-4596"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVER",
"first_name": "SHARON",
"middle_name": "ANICE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301053450",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL PROVIDER NUMBER",
"identifier": "OM70080",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.