Donald E Oliver, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

2589 Issued in SD

Practice address

2905 5TH St
Rapid City, SD 57701-7316

Phone

(605) 341-7337

Fax

(605) 341-2447

NPI assigned

Jul 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SD

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Black Hills Pediatrics, LLP

  • Pediatrics Physician
  • Rapid City, SD
  • NPI 1639229727
  Medicare reassignment NPD

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327968000000",
    "number": "1740205756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2905 5TH ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577017316",
            "telephone_number": "605-341-7337",
            "fax_number": "605-341-2447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2905 5TH ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577017316",
            "telephone_number": "605-341-7337",
            "fax_number": "605-341-2447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "DONALD",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2012-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SD",
            "license": "2589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6700470",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Renee Oler
• Christina Olinger, MA, ACT
• Clinton Eugene Olive II, MSW
• Amanda Dee Oliver, LMT
• Devin Oliver
• Lydia Oliver
• Megan Oliver
• Kelli Anne Olmsted, MS OTRL
• Tessa Laurel Olsen
• Audra S Olson, PHARMD

• Pediatrics Physician in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Pediatrics Physician in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.