Active NPI
Mitchell L Oliver, M.D.
- Gastroenterology Physician
- Plymouth, MA
National Provider Identifier
1922111640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 76027
- Practice address
- 110 Long Pond Rd
Suite 212
Plymouth, MA 02360-2642 - Phone
- (508) 746-7272
- Fax
- (508) 746-0104
- NPI assigned
- Aug 16, 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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 76027 | MA | Primary |
Addresses
Primary practice location
110 Long Pond Rd
Suite 212
Plymouth, MA 02360-2642
Mailing address
110 Long Pond Road
Suite 212
Plymouth, MA 02360
Phone (508) 746-7272
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 309859 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- State University of New York Downstate Medical Center, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
110 Long Pond Rd
Suite 212
Plymouth, MA 02360-2642
Phone (508) 746-7272
Hospital & facility affiliations
- Bayada Home Health Care Inc
- Cranberry Hospice
- Beth Israel Deaconess Hospital Plymouth
- South Shore Hospital
- Beth Israel Deaconess Medical Center
- Life Care Center of Plymouth
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 123 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 126 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Plymouth Carver Primary Care, P.C. | Gastroenterology | Current | Accepting new patients |
| Plymouth Carver Primary Care | Past | Accepting new patients |
Locations
110 Long Pond Rd
Ste 212
Plymouth, MA 02360
Phone (508) 746-0565
110 Long Pond Rd
Ste S212
Plymouth, MA 02360
Interoperability endpoints
- mitchell.oliver@pcpc.eclinicaldirectplus.com
Organizations & group practices 2
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.
-
- Gastroenterology Physician
- Plymouth, MA
- NPI 1285761619
-
- Multi-Specialty Clinic/Center
- Plymouth, MA
- NPI 1295063626
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Plymouth, MA
- NPI 1164535084
-
- Home Health Agency
- Plymouth, MA
- NPI 1366481293
-
- Home Health Agency
- South Easton, MA
- NPI 1811257694
-
- General Acute Care Hospital
- Plymouth, MA
- NPI 1043299001
-
- General Acute Care Hospital
- Boston, MA
- NPI 1548202641
-
- General Acute Care Hospital
- South Weymouth, MA
- NPI 1134227606
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1922111640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 LONG POND ROAD",
"address_2": "SUITE 212",
"city": "PLYMOUTH",
"state": "MA",
"postal_code": "02360",
"telephone_number": "508-746-7272",
"fax_number": "508-746-0104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 LONG POND RD",
"address_2": "SUITE 212",
"city": "PLYMOUTH",
"state": "MA",
"postal_code": "023602642",
"telephone_number": "508-746-7272",
"fax_number": "508-746-0104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVER",
"first_name": "MITCHELL",
"middle_name": "L",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "MA",
"license": "76027",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "309859",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Plymouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- 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.