MEDICARE: SARAH CATHERINE OLIVER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	LL34800	SC
2	208000000X	Pediatrics Physician	48592	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033471750
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH CATHERINE OLIVER M.D.

Provider Business Mailing Address
First Line	:	140 NEWCOMB AVE
Second Line	:
City	:	MOUNT VERNON
State	:	KY
Zip	:	40456-2725
Country	:	US
Telephone Number	:	606-256-4148
Fax Number	:	606-256-7785

Provider Business Practice Location Address
First Line	:	140 NEWCOMB AVE
Second Line	:
City	:	MOUNT VERNON
State	:	KY
Zip	:	40456-2725
Country	:	US
Telephone Number	:	606-256-4148
Fax Number	:	606-256-7785

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2012
Last Update Date	:	05/10/2017

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