Jonathan C. Olegario, MD, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

5718 Issued in SD

Legal business name

JONATHAN C. OLEGARIO, MD, PC

Practice address

120 W 6TH Ave
Mitchell, SD 57301-1920

Phone

(605) 996-9141

Fax

(605) 996-9194

NPI assigned

May 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan Caceres Olegario, MD

Title

President

Phone

(605) 996-9141

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902017825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W 6TH AVE",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573011920",
            "telephone_number": "605-996-9141",
            "fax_number": "605-996-9194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W 6TH AVE",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573011920",
            "telephone_number": "605-996-9141",
            "fax_number": "605-996-9194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN C. OLEGARIO, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OLEGARIO",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "CACERES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "605-996-9141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "SD",
            "license": "5718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005240",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Mitchell, SD
• Providers in Mitchell, SD by specialty
• Internal Medicine Physician in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.