DR. DOMINICK OLIVO (NPI# 1023005378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023005378 |
| Entity Type | Individual |
| Full Name | DR. DOMINICK OLIVO |
| Credential | DPM |
| Practice Address |
175 W Broadway Lincoln ME 04457-4000 |
| Practice Telephone | 2077946700 |
| Practice Fax Number | 2077946389 |
| Mailing Telephone | 2077946700 |
| Mailing Fax Number | 2077946389 |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2019-05-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
151 | MT | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 0000390660 | 05 |
| Street Address |
175 W BROADWAY |
| City | LINCOLN |
| State | ME |
| Zip Code | 04457-4000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871088914 | Amber Lee Willey | Nurse Practitioner | 175 W Broadway, Lincoln, ME 04457-4000 | 2018-06-29 |
| 1235623307 | Oluwapelumi Aderonke Adeloye | Dentist | 175 W Broadway, Lincoln, ME 04457-4000 | 2018-06-21 |
| 1447780002 | Jamie Perry | Nurse Practitioner | 175 W Broadway, Lincoln, ME 04457-4000 | 2017-06-15 |
| 1023550399 | Mark Kent | Psychologist | 175 W Broadway, Lincoln, ME 04457-4000 | 2016-11-17 |
| 1942679899 | Laycee Duhaime | Nurse Practitioner | 175 W Broadway, Lincoln, ME 04457-4000 | 2015-09-22 |
| 1437533460 | Alex J Braddock | Physician Assistant | 175 W Broadway, Lincoln, ME 04457-4000 | 2015-07-20 |
| 1417399205 | Jodie L Perfect | Nurse Practitioner | 175 W Broadway, Lincoln, ME 04457-4000 | 2013-07-23 |
| 1154764975 | Katie Marie Adams | Family Medicine | 175 W Broadway, Lincoln, ME 04457 | 2013-04-11 |
| 1467895201 | Diksha Malik | Family Medicine | 175 W Broadway, Lincoln, ME 04457 | 2013-04-11 |
| 1124371778 | Kenneth B Liberty | Psychologist | 175 W Broadway, Lincoln, ME 04457-4000 | 2012-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467928317 | Carlos Lopez & Associates LLC | Counselor | 213 W. Broadway, Lincoln, ME 04457 | 2018-10-18 |
| 1902303142 | Jennifer Harvey | Speech-Language Pathologist | 36 Workman Terrace Street, Lincoln, ME 04457 | 2018-04-12 |
| 1255714275 | Jill Bouchard | Registered Nurse | 313 Enfield Rd, Lincoln, ME 04457 | 2015-07-08 |
| 1346594769 | Total Renal Care Inc | Clinic/Center | 250 Enfield Rd, Lincoln, ME 04457 | 2012-11-07 |
| 1932429743 | Anne Marie Osolinski | Counselor | 8 Fleming Street, Suite C, Lincoln, ME 04457 | 2010-06-03 |
| 1477886711 | Lakeview Afch Inc | Custodial Care Facility | 10 E Broadway, Lincoln, ME 04457 | 2009-09-17 |
| 1326273418 | Colonial Healthcare | Assisted Living Facility | 36 Workman Terrace, Lincoln, ME 04457 | 2009-05-19 |
| 1730346743 | Mark B Weatherbee Od | Optometrist | 26 Enfield Road, Lincoln, ME 04457 | 2008-05-19 |
| 1396948139 | Alfred H. Vandine Jr. | Counselor | 313 Enfield Road, Lincoln, ME 04457 | 2007-06-08 |
| 1902024870 | Mary Catherine Goolsby | Social Worker | 313 Enfield Rd., Lincoln, ME 04457 | 2007-04-23 |
| Find all providers in zip 04457 | ||||
| Taxonomy Code | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922108646 | Fred M James | Podiatrist | 600 N Cotner Blvd, Suit 116, Lincoln, NE 68505-2343 | 2006-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801992375 | Joseph A Greco | Podiatrist | 95 East Ave, Lewiston, ME 04240 | 2006-09-15 |
| 1275518144 | Jessica L Buckner | Podiatrist | 81 Medical Center Dr, Suite 2100, Brunswick, ME 04011-2690 | 2005-12-13 |
| 1518951201 | Daniel James Benson | Podiatrist | 12 Spruce St, Suite #5, Augusta, ME 04330-5204 | 2005-09-08 |
| 1598160301 | Podiatry of Northern Maine | Podiatrist | 22 North St, Houlton, ME 04730-1833 | 2014-10-23 |
| 1679829212 | David Thao | Podiatrist | 529 S Patten Rd, Patten, ME 04765-3007 | 2012-08-01 |
| 1386925055 | Jared Yadon Kohlbacher | Podiatrist | 140 Academy St Ste 10, Presque Isle, ME 04769-3102 | 2011-09-07 |
| 1962669556 | Melissa Ann Milza | Podiatrist | 5 Abby Rd, Windham, ME 04062-5513 | 2008-05-21 |
| 1043498744 | Richard Steinmetz Dpm | Podiatrist | 846 Main St, Ste 2, Westbrook, ME 04092-2847 | 2008-02-05 |
| 1538346564 | Associated Foot Care Pa | Podiatrist | 95 East Ave, Lewiston, ME 04240 | 2008-01-22 |
| 1063595817 | Richard Steinmetz | Podiatrist | 980 Forest Ave, Ste 102, Portland, ME 04103-3357 | 2006-10-23 |
| Find all providers with the same taxonomy | ||||
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| 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.