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MRS. TAMARA L. OLT M.D. NPI 1104870708


NPI Information

NPI: 1104870708
Provider Name: MRS. TAMARA L. OLT, M.D.
Classification: Obstetrics & Gynecology - 207VG0400X
Entity Type: Individual

Specialization: Gynecology

Organization: TAMARA OLT SC INC

PECOS Registration: Yes

Address:
5401 N KNOXVILLE AVE
SUITE 109
PEORIA, IL
ZIP 61614
Phone: (309) 692-2805
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MRS. Tamara L. Olt, M.D. is a gynecology obstetrics gynecology in Peoria, IL with 32 years of experience. MRS. Tamara L. Olt, M.D. NPI is 1104870708. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Graduation Year:1992

The provider's business location address is:

5401 N KNOXVILLE AVE
SUITE 109
PEORIA, IL
ZIP 61614-098
Phone: (309) 692-2805
Fax: (309) 692-1913

The NPI 1104870708 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Cervical or vaginal cancer screening; pelvic and clinical breast examination (HCPCS:G0101)
  • Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory (HCPCS:Q0091)
  • Ultrasound pelvis through vagina (HCPCS:76830)

The enumeration date for this NPI number is 5/19/2006 and was last updated on 12/28/2011.


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
1207VX0000XObstetrics & GynecologyObstetrics036089480ILLINOISNo
2207VG0400XObstetrics & GynecologyGynecology036089480ILLINOISYes

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
1343117OTHERILLINOISHEALTHLINK
2IL0101OTHERILLINOISJOHN DEERE HEALTH
3P00289284/DE3835OTHERILLINOISRAILROAD MEDICARE
4G35702MEDICARE UPINILLINOIS
5K22976/212638MEDICARE ID-TYPE UNSPECIFIEDILLINOIS
6036089480MEDICAIDILLINOIS
707232119OTHERILLINOISBCBS OF ILLINOIS

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: 11/14/2023

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.