Active NPI
Ralph A Olechowski, D.O.
- Emergency Medicine Physician
- Escanaba, MI
National Provider Identifier
1043356710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 5101006590
- Practice address
- 3401 Ludington St
Escanaba, MI 49829-1300 - Phone
- (906) 786-5707
- Fax
- (906) 786-4004
- NPI assigned
- Jan 30, 2007
- 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 | 5101006590 | MI | Primary |
Addresses
Primary practice location
3401 Ludington St
Escanaba, MI 49829-1300
Mailing address
75 Remit Drive
Lockbox 6900
Chicago, IL 60675-6900
Phone (866) 916-5259
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010060046 | Other | MI | RAILROAD MEDICARE |
| P00434632 | Other | MI | RAILROAD MEDICARE |
| 1043356710 | Medicaid | MI | |
| 3469672 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Michigan Emergenc Physicians, LLP | Emergency Medicine | Past | Accepting new patients |
| Logan Health - Whitefish | Past | Accepting new patients |
Organizations & group practices 2
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
- Sault Sainte Marie, MI
- NPI 1922105113
-
- Rural Health Clinic/Center
- Eureka, MT
- NPI 1336115849
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216339200000",
"number": "1043356710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 REMIT DRIVE",
"address_2": "LOCKBOX 6900",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606756900",
"telephone_number": "866-916-5259",
"fax_number": "231-922-4030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 LUDINGTON ST",
"city": "ESCANABA",
"state": "MI",
"postal_code": "498291300",
"telephone_number": "906-786-5707",
"fax_number": "906-786-4004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLECHOWSKI",
"first_name": "RALPH",
"middle_name": "A",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-30",
"last_updated": "2008-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MI",
"license": "5101006590",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "010060046",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00434632",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1043356710",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3469672",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Escanaba, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.