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OLIVER WILLIAM FANNIN MD NPI 1316902281


NPI Information

NPI: 1316902281
Provider Name: OLIVER WILLIAM FANNIN, MD
Classification: Emergency Medicine - 207P00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
601 E 15TH ST
AUSTIN, TX
ZIP 78701
Phone: (512) 324-7000
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Oliver William Fannin, MD is an emergency medicine in Austin, TX. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. Oliver William Fannin, MD NPI is 1316902281. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

601 E 15TH ST
AUSTIN, TX
ZIP 78701-930
Phone: (512) 324-7000

The NPI 1316902281 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/20/2006 and was last updated on 6/25/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207P00000XEmergency MedicineJ7324TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1138853024OTHERTEXASCIDC
28G1375MEDICARE PINTEXAS
3F92616MEDICARE UPINTEXAS
48D4866MEDICARE PINTEXAS
58J8726MEDICARE PINTEXAS
6P00319799MEDICARE PINTEXAS
78D3972MEDICARE PINTEXAS
88B8895MEDICARE PINTEXAS
9138853023MEDICAIDTEXAS
10P00400163MEDICARE PINTEXAS
118F1928MEDICARE PINTEXAS
128901M4MEDICARE PINTEXAS
138F0119MEDICARE PINTEXAS
148C6465MEDICARE PINTEXAS
158J5436MEDICARE PINTEXAS
168Y0017OTHERTEXASBCBS OF TX

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.