BRENT STEVEN OLIVA (NPI# 1881038354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881038354 |
Entity Type | Individual |
Full Name | BRENT STEVEN OLIVA |
Credential | DPM |
Practice Address |
2207 Olympic Ave Springfield OH 45503-2725 |
Mailing Address |
5925 N. Main St Suite D Dayton OH 45415-3142 |
Practice Telephone | 9374269500 |
Mailing Telephone | 9374269500 |
Mailing Fax Number | 8554822339 |
Enumeration Date | 2013-04-26 |
Last Update Date | 2016-10-06 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
36003776 | OH | Podiatric Medicine & Surgery Service Providers |
Street Address |
2207 OLYMPIC AVE |
City | SPRINGFIELD |
State | OH |
Zip Code | 45503-2725 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174823314 | Community Medical Specialists | Podiatrist | 2207 Olympic Ave, Springfield, OH 45503-2725 | 2010-10-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093182727 | Future Plan LLC Dba Home Instead Senior Care | In Home Supportive Care | 333 Mt Vernon Ave, Springfield, OH 45503 | 2015-08-28 |
1740665280 | Paulette Thomas | Occupational Therapy Assistant | 722 Patrick Road, Springfield, OH 45503 | 2015-07-27 |
1912391400 | Nanditha Alamelu Ranganathan | Student in an Organized Health Care Education/Training Program | 2655 Ballydoyle Dr., Springfield, OH 45503 | 2015-03-24 |
1598102568 | Careplus Home Healthcare | Registered Nurse | 802 N. Limestone St, Spfld, OH 45503 | 2013-05-30 |
1407120033 | Janice Louise Foster | Home Health Aide | 3131 Erter Drive, Springfield, OH 45503 | 2012-02-29 |
1306123112 | David P. Comer | Physician Assistant | 2600 N Limestone St Fl 2, Springfield, OH 45503 | 2011-11-08 |
1689953564 | Family Dental Care | Dentist | 1240 E. Main St, Springfield, OH 45503 | 2011-08-10 |
1942539317 | Latonia Marie Montgomery | Licensed Vocational Nurse | 2350 North Limestone #10, Springfield, OH 45503 | 2009-12-15 |
1518139385 | Springfield Eye Group LLC | Optometrist | 1674 North Limestone St, Springfield, OH 45503 | 2008-04-01 |
1457543951 | Kara Nicole Miller | Physician Assistant | 2600 N. Limestone, 2nd Floor, Springfield, OH 45503 | 2007-08-17 |
Find all providers in zip 45503 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497152474 | Ohio Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 2207 Olympic Ave., Springfield, OH 45503-2725 | 2014-11-19 |
1194091629 | Foot & Ankle Associates of Central Il LLC | Podiatrist | 1603 West Washington, Springfield, IL 62702-4794 | 2012-03-29 |
1174823314 | Community Medical Specialists | Podiatrist | 2207 Olympic Ave, Springfield, OH 45503-2725 | 2010-10-21 |
1760697213 | Jason Perry Galante | Podiatrist | 500 Morris Ave Ste 203, Springfield, NJ 07081-1020 | 2007-05-10 |
1174672869 | Peter Crickellas | Podiatrist | 24 Lyons Pl, Springfield, NJ 07081-1604 | 2007-01-10 |
1992872998 | Essex Union Podiatry LLP | Podiatrist | 500 Morris Avenue, Suite 203, Springfield, NJ 07081-1156 | 2006-11-29 |
1053491837 | David E Samuel | Podiatrist | 196 W Sproul Rd Ste 107, Springfield, PA 19064-2045 | 2006-10-16 |
1285661249 | Stephen J Longobardi | Podiatrist | 100 Morris Ave Ste 304, Springfield, NJ 07081-1423 | 2006-06-27 |
1487691747 | Donald Pierre Lemelle | Podiatrist | 415 W Harding Rd, Springfield, OH 45504-1706 | 2006-06-02 |
1255306676 | David Plotkin | Podiatrist | 619 Morris Ave, Springfield, NJ 07081-1511 | 2006-02-20 |
Find all providers in SPRINGFIELD |
City | SPRINGFIELD |
Zip Code | 45503 |
Please comment or provide details below to improve the information on BRENT STEVEN OLIVA.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.