Individual provider Active NPI

Eddie Eugene Oliver, MD

  • Emergency Medicine Physician
  • Belle Glade, FL
National Provider Identifier
1952469504
Registry record updated Jan 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME53972 Issued in FL
Practice address
1201 S Main St
Belle Glade, FL 33430-4911
Phone
(561) 996-6571
NPI assigned
Dec 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X ME53972 FL Primary

Addresses

Primary practice location

1201 S Main St
Belle Glade, FL 33430-4911

Mailing address

2470 Wellington Green Dr
Ste 308
Wellington, FL 33414-9321
Phone (813) 495-6434

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040428000666 FL Practitioner - Emergency Medicine 5092702431 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Services of FL, LLC Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Paragon Contracting Services LLC Emergency Medicine CurrentSince Dec 1, 2007 Accepting new patients
Mid-Florida Emergency Physicians, LLC Emergency Medicine CurrentSince Aug 12, 2016 Accepting new patients
Tarpon Springs Emergency Physicians, LLC Emergency Medicine Past Accepting new patients
Belle Glade Emergency Physicians LLC Emergency Medicine Past Accepting new patients

Locations

1201 S Main St
Belle Glade, FL 33430
Phone (561) 996-6571

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

651 E 25th St
Hialeah, FL 33013
Phone (305) 835-4370

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185

3600 S Highlands Ave
Sebring, FL 33870
Phone (863) 385-6101

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199750400000",
    "number": "1952469504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2470 WELLINGTON GREEN DR",
            "address_2": "STE 308",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334149321",
            "telephone_number": "813-495-6434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 S MAIN ST",
            "city": "BELLE GLADE",
            "state": "FL",
            "postal_code": "334304911",
            "telephone_number": "561-996-6571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "EDDIE",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2008-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME53972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belle Glade, FL

Sources for this page

Verify at the official NPI Registry.