Individual provider Active NPI

Andrew J Oliver, D.O.

  • Surgery Physician
  • Venice, FL
National Provider Identifier
1659639672
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
OS21972 Issued in WA
Practice address
436 Nokomis Ave S
Venice, FL 34285-2617
Phone
(941) 445-5054
Fax
(941) 303-6796
NPI assigned
Apr 27, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X OS21972 WA Primary

Addresses

Primary practice location

436 Nokomis Ave S
Venice, FL 34285-2617

Mailing address

436 Nokomis Ave S
Venice, FL 34285-2617
Phone (941) 445-5054

Other identifiers 1

IdentifierTypeStateIssuer
2120829MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aoliver554468@fhsce.catholichealth.net Direct Franciscan Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250331001262 FL Practitioner - General Surgery 4385984681 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Surgical Associates of Venice and Englewood PAGroup PAC ID 3274422191, 2 clinicians

Practice addresses (Care Compare)

436 Nokomis Ave S
Venice, FL 34285-2617
Phone (941) 445-5054

Hospital & facility affiliations

  • HCA Florida Sarasota Doctors Hospital Hospital, Sarasota, FL, CCN 100166
  • HCA Florida Englewood Hospital Hospital, Englewood, FL, CCN 100267

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS21972WAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Surgical Associates of Venice and Englewood, PA Surgery CurrentSince Feb 18, 2025 Accepting new patients
SMH Physician Services Inc PastSince Feb 18, 2025 Accepting new patients

Locations

436 Nokomis Ave S
Venice, FL 34285
Phone (941) 445-5054

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1485
  • Direct secure messaging: aoliver@save.gwaydirect.com

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1335484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748563200000",
    "number": "1659639672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 NOKOMIS AVE S",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342852617",
            "telephone_number": "941-445-5054",
            "fax_number": "941-303-6796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 NOKOMIS AVE S",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342852617",
            "telephone_number": "941-445-5054",
            "fax_number": "941-303-6796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "ANDREW",
        "middle_name": "J",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-27",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WA",
            "license": "OS21972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2120829",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aoliver554468@fhsce.catholichealth.net",
            "affiliation": "Y",
            "affiliationName": "Franciscan Medical Group",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "34509 9th Ave S Ste 204",
            "city": "Federal Way",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980038708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

Verify at the official NPI Registry.