John P Oliphant MD PLLC

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

30518 Issued in KY

Legal business name

JOHN P OLIPHANT MD PLLC

Practice address

3427 Stony Spring Cir
Louisville, KY 40220-5437

Phone

(502) 493-9994

Fax

(502) 493-9991

NPI assigned

Oct 24, 2006

Organization subpart

No

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

Authorized official

Name

John P Oliphant, MDNPI 1194719831

Title

Sole Member Owner

Phone

(502) 493-9994

Specialties & licenses 1

Addresses

Other identifiers 3

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John P Oliphant, MD

  • Pediatric Adolescent Medicine Physician
  • Louisville, KY
  • NPI 1194719831
  NPD (past) Authorized official

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235433600000",
    "number": "1891879219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3427 STONY SPRING CIR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402205437",
            "telephone_number": "502-493-9994",
            "fax_number": "502-493-9991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3427 STONY SPRING CIR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402205437",
            "telephone_number": "502-493-9994",
            "fax_number": "502-493-9991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN P OLIPHANT MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2009-02-24",
        "status": "A",
        "authorized_official_last_name": "OLIPHANT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "SOLE MEMBER OWNER",
        "authorized_official_telephone_number": "502-493-9994",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "KY",
            "license": "30518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1200353",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000052171",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT",
            "identifier": "1124739",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John C. Kall, D.M.D.
• John E. Gallehr, MD P.S.C.
• John F. Fritz, Jr., D.M.D., R.PH, P.S.C.
• John Lach M.D. Family Medicine PSC
• John M. Farmer,MD,PSC
• John P Sullivan MD
• John R Baird M D PLLC
• John R Baird MD PLLC
• John Walsh Counseling & Consulting Inc
• George Robert John, MD

• Pediatric Adolescent Medicine Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Pediatric Adolescent Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.