NPIMap

Organization Active NPI

Randall L. Oliver, M.D., P.C.

Doing business as Oliver Headache and Pain Clinic

  • Clinic/Center
  • Evansville, IN
National Provider Identifier
1922038249
Registry record updated Mar 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
RANDALL L. OLIVER, M.D., P.C.
Doing business as
Oliver Headache and Pain Clinic
Practice address
1101 Professional Blvd
Evansville, IN 47714-8016
Phone
(812) 477-7246
Fax
(812) 477-7240
NPI assigned
Jul 3, 2006
Last updated
Mar 19, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2013

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

Authorized official

Name
Randall Lee Oliver, M.D.NPI 1356393219
Title
Owner/Physician
Phone
(812) 477-7246

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1101 Professional Blvd
Evansville, IN 47714-8016

Mailing address

PO Box 6810
Evansville, IN 47719-0810
Phone (812) 477-7246

Other names 1

  • OLIVER HEADACHE AND PAIN CLINIC Doing business as

National Provider Directory

National Provider Directory

Locations

2828 Mount Vernon Ave
Evansville, IN 47712
Phone (812) 425-9824

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363651200000",
    "number": "1922038249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6810",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477190810",
            "telephone_number": "812-477-7246",
            "fax_number": "812-477-7240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 PROFESSIONAL BLVD",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477148016",
            "telephone_number": "812-477-7246",
            "fax_number": "812-477-7240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDALL L. OLIVER, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2013-03-19",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "812-477-7246",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OLIVER HEADACHE AND PAIN CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2013; 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.