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RANDALL L. OLIVER M.D. P.C. NPI 1922038249


NPI Information

NPI: 1922038249
Provider Name: RANDALL L. OLIVER, M.D., P.C.

Doing Business As: OLIVER HEADACHE AND PAIN CLINIC

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
1101 PROFESSIONAL BLVD
EVANSVILLE, IN
ZIP 47714
Phone: (812) 477-7246
Get Directions

RANDALL L. OLIVER, M.D., P.C. is a clinic center in Evansville, IN. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). RANDALL L. OLIVER, M.D., P.C. NPI is 1922038249. The provider is registered as an organization entity type.
The provider Is Doing Business As Oliver Headache And Pain Clinic.

The provider's business location address is:

1101 PROFESSIONAL BLVD
EVANSVILLE, IN
ZIP 47714-016
Phone: (812) 477-7246
Fax: (812) 477-7240

The provider's authorized official is Randall Lee Oliver .
The authorized official title is Owner/physician and has the following contact phone number (812) 477-7246.

The enumeration date for this NPI number is 7/3/2006 and was last updated on 3/19/2013.


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
1261Q00000XClinic/CenterYes

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
110643OTHERINDIANAHEALTHSOURCE
2659100OTHERINDIANAPRINCIPAL
3010056774MEDICARE PININDIANA
464872484MEDICAIDKENTUCKY
50000000386753OTHERINDIANAANTHEM PAIN MGMT
6000000089152OTHERINDIANAANTHEM FAMILY PRACTICE
7100180970AMEDICAIDINDIANA
8534830MEDICARE PININDIANA
9719364OTHERINDIANAAFFORDABLE
10169425OTHERINDIANAHEALTHLINK
111006173OTHERINDIANACHAMPUS
12C25856MEDICARE UPININDIANA

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

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