NPIMap

Individual provider Active NPI

Michael Oliver, D.O.

  • Internal Medicine Physician
  • Beaver, PA
National Provider Identifier
1679501431
Registry record updated Sep 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS012421 Issued in PA
Practice address
500 Sharon Rd
Beaver, PA 15009-1957
Phone
(724) 728-8751
Fax
(724) 770-7927
NPI assigned
Jun 29, 2006
Last updated
Sep 16, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS012421 PA Primary

Addresses

Primary practice location

500 Sharon Rd
Beaver, PA 15009-1957

Mailing address

500 Sharon Rd
Beaver, PA 15009-1957
Phone (724) 728-8751

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040819000444 PA Practitioner - Internal Medicine 6002889730 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mrs Physical TherapyGroup PAC ID 0042128407, 168 clinicians

Practice addresses (Care Compare)

1 Peartree Way
Beaver, PA 15009-1954
Phone (724) 773-8960

2 Peartree Way
Credentialing and Enrollment
Beaver, PA 15009-1954

4538 Peach St
Erie, PA 16509-1364
Phone (814) 864-6650

500 Sharon Rd
Beaver, PA 15009-1957
Phone (724) 728-8751

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS012421PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heritage Valley Multispecialty Group, Inc. Internal Medicine CurrentSince May 1, 2010 Accepting new patients
Heritage Valley Multispecialty Group, Inc. Internal Medicine CurrentSince May 1, 2010 Accepting new patients
Heritage Valley Medical Group, Inc. Past Accepting new patients
Life Beaver County Past Accepting new patients
Las Geriatric Care Services, Inc. Past Accepting new patients

Locations

2 Peartree Way
Beaver, PA 15009
Phone (724) 773-6802

500 Sharon Rd
Beaver, PA 15009
Phone (724) 728-7683

Interoperability endpoints

  • Direct secure messaging: michaeloliver@hvhs.allscriptsdirect.net

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 12

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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442361600000",
    "number": "1679501431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 SHARON RD",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150091957",
            "telephone_number": "724-728-8751",
            "fax_number": "724-770-7927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SHARON RD",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150091957",
            "telephone_number": "724-728-8751",
            "fax_number": "724-770-7927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "MICHAEL",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2015-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS012421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaver, PA

Sources for this page

Verify at the official NPI Registry.