M R Olden & Associates LLC

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

02000380A Issued in IN

Legal business name

M R OLDEN & ASSOCIATES LLC

Practice address

701 Superior Ave
Suite O
Munster, IN 46321-4037

Phone

(219) 922-4220

Fax

(219) 922-4020

NPI assigned

Feb 15, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Michael R Olden, D.O.

Title

Physician

Phone

(708) 748-6775

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275523200000",
    "number": "1013185750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 631",
            "city": "RICHTON PARK",
            "state": "IL",
            "postal_code": "604710631",
            "telephone_number": "708-748-6775",
            "fax_number": "708-748-6775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 SUPERIOR AVE",
            "address_2": "SUITE O",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463214037",
            "telephone_number": "219-922-4220",
            "fax_number": "219-922-4020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M R OLDEN & ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-15",
        "last_updated": "2010-06-03",
        "status": "A",
        "authorized_official_last_name": "OLDEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "708-748-6775",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "IN",
            "license": "02000380A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Anne Lux, AM, LCSW
• Chandra Nicole Lyles, LCSW
• Catherine Lyons, DPT
• Neal Lyons, PHARMD
• M & P Dental
• Manmeet Singh Maan, MD
• Melyn Joy Mabunay, FNP-BC
• Jarrod Macak, PT
• Amy Diane Madison
• VI L. Magerski, BS/BC/HIS

• Endocrinology, Diabetes & Metabolism Physician in Munster, IN
• Providers in Munster, IN by specialty
• Endocrinology, Diabetes & Metabolism Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.