Active NPI
Garret Carl Olson, D.O.
- Emergency Medicine Physician
- Broken Arrow, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 4796
- Practice address
- 1000 W Boise Cir
St John Owasso - Emergency Dept
Broken Arrow, OK 74012-4900 - Phone
- (918) 994-8000
- Fax
- (918) 994-8497
- NPI assigned
- Jul 28, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 4796 | OK | Primary |
Addresses
Primary practice location
1000 W Boise Cir
St John Owasso - Emergency Dept
Broken Arrow, OK 74012-4900
Mailing address
1000 W Boise Cir
St John Owasso - Emergency Dept
Broken Arrow, OK 74012-4900
Phone (918) 994-8000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4796 | OK | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. John Physicians, Inc. | Emergency Medicine | Current | Accepting new patients |
| South Central Emergency Services PC | Emergency Medicine | Current | Accepting new patients |
| St. John Physicians, Inc | Current | Accepting new patients | |
| Hughes Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
| Jackson County Memorial Hospital Authority | Past | Accepting new patients | |
| Purcell Emergency PLLC | Emergency Medicine | Past | Accepting new patients |
Locations
1000 W Boise Cir
Broken Arrow, OK 74012
Phone (918) 994-8000
1004 E Bryan Ave
Sapulpa, OK 74066
Phone (918) 224-4280
1323 W 6th Ave
Stillwater, OK 74074
Phone (405) 372-1480
1705 E 19th St
Ste 304
Tulsa, OK 74104
Phone (918) 748-7660
1717 S Utica Ave
Ste A
Tulsa, OK 74104
Phone (918) 748-1300
1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585
Interoperability endpoints
- garret.olson@direct.stjohnhealthsystem.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Stillwater, OK
- NPI 1558663724
-
- Rural Health Clinic/Center
- Barnsdall, OK
- NPI 1033176367
-
- Emergency Medicine Physician
- Holdenville, OK
- NPI 1578513495
-
- General Acute Care Hospital
- Altus, OK
- NPI 1093763781
-
- Emergency Medicine Physician
- Purcell, OK
- NPI 1992954689
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341964800000",
"number": "1003047853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 W BOISE CIR",
"address_2": "ST JOHN OWASSO - EMERGENCY DEPT",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740124900",
"telephone_number": "918-994-8000",
"fax_number": "918-994-8497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 W BOISE CIR",
"address_2": "ST JOHN OWASSO - EMERGENCY DEPT",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740124900",
"telephone_number": "918-994-8000",
"fax_number": "918-994-8497"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "GARRET",
"middle_name": "CARL",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-28",
"last_updated": "2012-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OK",
"license": "4796",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Broken Arrow, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.