Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ryan Michael Olivero, PA-C

Individual provider Medical Physician Assistant · NPI 1689903213

Ryan Michael Olivero, PA-C is a Physician Assistant in Novi, Michigan. Qualified in 2009, 17 years ago. Practices with Henry Ford Health Providence Hospital, a 350-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
17
Licensed in
MI
In the registry since
2009
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

47601 Grand River Ave
Novi, MI 48374-1233
Phone: (248) 465-4311
Fax: (248) 465-4651
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 30055 Northwestern Hwy, Farmington Hills, MI 48334-3230 — (248) 985-5000

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 5601005697 (MI)

Record details

NPI number1689903213
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 10, 2009
Last updated in NPPESJuly 23, 2024
Certification dateJuly 23, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Henry Ford Health Providence Hospital — 350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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