Active NPI
George Allen Oliver, M.D.
- Internal Medicine Physician
- Farmington, MO
National Provider Identifier
1851459341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25526
- Practice address
- 1010 W Columbia St
Farmington, MO 63640-2902 - Phone
- (573) 218-6792
- Fax
- (573) 218-6703
- NPI assigned
- Dec 5, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25526 | MO | Primary |
Addresses
Primary practice location
1010 W Columbia St
Farmington, MO 63640-2902
Mailing address
1010 W Columbia St
Farmington, MO 63640-2902
Phone (573) 218-6792
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25526 | Other | MO | MO PROF. LICENSE # |
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": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1851459341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 W COLUMBIA ST",
"city": "FARMINGTON",
"state": "MO",
"postal_code": "636402902",
"telephone_number": "573-218-6792",
"fax_number": "573-218-6703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 W COLUMBIA ST",
"city": "FARMINGTON",
"state": "MO",
"postal_code": "636402902",
"telephone_number": "573-218-6792",
"fax_number": "573-218-6703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVER",
"first_name": "GEORGE",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-05",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "25526",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MO PROF. LICENSE #",
"identifier": "25526",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Farmington, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.