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DR. RUSSELL WADE OLIVER DPM NPI 1417095571


NPI Information

NPI: 1417095571
Provider Name: DR. RUSSELL WADE OLIVER, DPM
Classification: Podiatrist - 213ES0131X
Entity Type: Individual

Specialization: Foot Surgery

PECOS Registration: Yes

Address:
635 N. MAIN STREET
SUITE A
SHELBYVILLE, TN
ZIP 37160
Phone: (931) 684-8884
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DR. Russell Wade Oliver, DPM is a foot surgery podiatrist in Shelbyville, TN with 18 years of experience. DR. Russell Wade Oliver, DPM NPI is 1417095571. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: BARRY UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Graduation Year:2006

The provider's business location address is:

635 N. MAIN STREET
SUITE A
SHELBYVILLE, TN
ZIP 37160-235
Phone: (931) 684-8884
Fax: (931) 684-8808

The NPI 1417095571 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).

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.

  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Removal of tissue from 6 or more finger or toe nails (HCPCS:11721)
  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Removal of tissue from wounds per session (HCPCS:97597)
  • Removal of 2 to 4 thickened skin growths (HCPCS:11056)
  • Removal of single thickened skin growth (HCPCS:11055)
  • Injections of tendon sheath, ligament, or muscle membrane (HCPCS:20550)
  • Ultrasound study of arteries of both arms and legs (HCPCS:93922)
  • Destruction of up to 14 skin growths (HCPCS:17110)
  • Removal of tissue from 1 to 5 finger or toe nails (HCPCS:11720)

The enumeration date for this NPI number is 2/1/2007 and was last updated on 12/15/2009.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213ES0131XPodiatristFoot SurgeryDPM0000000524TENNESSEEYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1U70511MEDICARE UPINTENNESSEE
21454420MEDICAIDTENNESSEE
34096890001MEDICARE NSCTENNESSEE
43352792MEDICARE PINTENNESSEE
53157415OTHERTENNESSEEBLUE CROSS BLUE SHIELD
6TN0101OTHERTENNESSEEAMERICHOICE
7480025490OTHERTENNESSEEMEDICARE RAILROAD

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: 5/5/2024

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.