Provider Demographics
NPI:1891754719
Name:OLEY, RICHARD M (DO)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:M
Last Name:OLEY
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:100 N ACADEMY AVE
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17822-4903
Mailing Address - Country:US
Mailing Address - Phone:570-271-6144
Mailing Address - Fax:570-271-6578
Practice Address - Street 1:16 CHURCH ST
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:PA
Practice Address - Zip Code:18612-1136
Practice Address - Country:US
Practice Address - Phone:570-675-2111
Practice Address - Fax:570-675-6545
Is Sole Proprietor?:No
Enumeration Date:2006-03-20
Last Update Date:2020-08-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAOS009408L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA73296OtherGEISINGER HEALTH PLAN
PA002926OtherFIRST PRIORTY
PA131609OtherMED PLUS
PA1411797OtherBLUE SHIELD
PA001901100-0002Medicaid
PA080188991OtherPALMETTO GBA/MC RAILROAD
PA3Y3519OtherHEALTHNET
PA2890196OtherAETNA (HMO)
PA7639397OtherAETNA (PPO)
PA002926OtherFIRST PRIORTY