Organization Active NPI

Scott E Olsson, MD, PA

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Cypress, TX
National Provider Identifier
1023225786
Registry record updated Nov 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
L8153 Issued in TX
Legal business name
SCOTT E OLSSON, MD, PA
Practice address
21216 Northwest Fwy
Suite 680
Cypress, TX 77429-4695
Phone
(713) 467-5111
Fax
(713) 467-5198
NPI assigned
May 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2011

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

Authorized official

Name
Dr. Scott E Olsson, MD
Title
Owner
Phone
(713) 467-5111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208G00000X L8153 TX Primary

Addresses

Primary practice location

21216 Northwest Fwy
Suite 680
Cypress, TX 77429-4695

Mailing address

21216 Northwest Fwy
Suite 680
Cypress, TX 77429-4695
Phone (713) 467-5111

Other identifiers 1

IdentifierTypeStateIssuer
170034601MedicaidTX

National Provider Directory

National Provider Directory

Locations

8830 Long Point Rd
Ste 308
Houston, TX 77055
Phone (832) 654-4285

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321920000000",
    "number": "1023225786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21216 NORTHWEST FWY",
            "address_2": "SUITE 680",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774294695",
            "telephone_number": "713-467-5111",
            "fax_number": "713-467-5198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21216 NORTHWEST FWY",
            "address_2": "SUITE 680",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774294695",
            "telephone_number": "713-467-5111",
            "fax_number": "713-467-5198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT E OLSSON, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2011-11-22",
        "status": "A",
        "authorized_official_last_name": "OLSSON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-467-5111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "TX",
            "license": "L8153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170034601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; 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.