Dr. Russell Wade Oliver
Foot Surgery
635 N. Main Street Suite A
Shelbyville
, Tennessee 37160-3235
Dr. Russell Wade Oliver
Foot Surgery
635 N. Main Street Suite A
Shelbyville
, Tennessee 37160-3235
(931) 684-8808
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About
Features
Specialties
- Foot Surgery
Languages spoken
- English
Location
First Address
- Dr. Russell Wade Oliver
- P.o. Box 766
- Shelbyville, TN
- Zip : 37162-0766
- Fax : (931) 684-8808
- Phone : (931) 684-8884
Second Address
- Dr. Russell Wade Oliver
- 635 N. Main Street Suite A
- Shelbyville, TN
- Zip : 37160-3235
- Fax : (931) 684-8808
- Phone : (931) 684-8884
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213ES0131X | Foot Surgery | DPM0000000524 | TN |
National Provider Identifier
| NPI | 1417095571 |
|---|---|
| Provider Name | Dr. Russell Wade Oliver |
| First Address | Shelbyville, TN 37162-0766 |
| Second Address | Shelbyville, TN 37160-3235 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/02/2007 |
| Last Update Date | 15/12/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1454420 | (05) | TN |
| 3157415 | BLUE CROSS BLUE SHIELD (01) | TN |
| 480025490 | MEDICARE RAILROAD (01) | TN |
| TN0101 | AMERICHOICE (01) | TN |
| U70511 | (02) | TN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.