Active NPI
Rodney G Olinger, M.D.
- Neurological Surgery Physician
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- MD14868
- Practice address
- 6325 Humphreys Blvd
Memphis, TN 38120-2300 - Phone
- (901) 522-7700
- Fax
- (901) 522-2550
- NPI assigned
- Oct 24, 2005
- Last updated
- Dec 11, 2007
- 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 |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | MD14868 | TN | Primary |
Addresses
Primary practice location
6325 Humphreys Blvd
Memphis, TN 38120-2300
Mailing address
6325 Humphreys Blvd
Memphis, TN 38120-2300
Phone (901) 522-7700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3000440 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD14868 | TN | MD | Neurological Surgery Physician |
| 14868 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Bernards Physician Clinics, Inc. | Current | Accepting new patients | |
| St Bernards Physician Clinics Inc | Neurological Surgery | Current | Accepting new patients |
| St Bernards Physician Clinics Inc | Current | Accepting new patients | |
| Semmes Murphey Clinic PC | Past | Accepting new patients | |
| Jonesboro Neurosurgery Clinic, Inc | Neurological Surgery | Past | Accepting new patients |
| Semmes-Murphey Clinic PC | Neurological Surgery | Past | Accepting new patients |
Locations
1005 E Matthews Ave
Jonesboro, AR 72401
Phone (870) 935-1242
800 S Church St
Ste 201
Jonesboro, AR 72401
Phone (870) 934-1462
Interoperability endpoints
- https://api.platform.athenahealth.com/28653/brand/1/csg/1/fhir/r4
- rodney.olinger.p6@direct.uthsc.nextgenshare.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba St Bernards Surgical Associates
- Surgery Physician
- Jonesboro, AR
- NPI 1447923438
Neurological Surgery
-
- Diagnostic Radiology Physician
- Jonesboro, AR
- NPI 1780546051
-
- Internal Medicine Physician
- Jonesboro, AR
- NPI 1407577216
-
- Durable Medical Equipment & Medical Supplies
- Memphis, TN
- NPI 1942425020
Neurological Surgery
-
- Neurological Surgery Physician
- Jonesboro, AR
- NPI 1467514976
-
- Durable Medical Equipment & Medical Supplies
- Southaven, MS
- NPI 1043958283
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197331200000",
"number": "1942290739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6325 HUMPHREYS BLVD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381202300",
"telephone_number": "901-522-7700",
"fax_number": "901-522-2550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6325 HUMPHREYS BLVD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381202300",
"telephone_number": "901-522-7700",
"fax_number": "901-522-2550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLINGER",
"first_name": "RODNEY",
"middle_name": "G",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-24",
"last_updated": "2007-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "TN",
"license": "MD14868",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3000440",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.