NPIMap

Organization Active NPI

Michael S. Olin, MD

  • Specialist
  • North Smithfield, RI
National Provider Identifier
1053578492
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
RI5369 Issued in RI
Legal business name
MICHAEL S. OLIN, MD
Practice address
63 Eddie Dowling Hwy
Suite 8
North Smithfield, RI 02896-7322
Phone
(401) 765-1213
Fax
(401) 765-7995
NPI assigned
May 22, 2008
Last updated
May 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2008

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

Authorized official

Name
Dr. Michael Steven Olin, M.D.NPI 1144353855
Title
Owner
Phone
(401) 765-1213

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X RI5369 RI Primary

Addresses

Primary practice location

63 Eddie Dowling Hwy
Suite 8
North Smithfield, RI 02896-7322

Mailing address

63 Eddie Dowling Highway
Suite 8
North Smithfield, RI 02896
Phone (401) 765-1213

Other identifiers 2

IdentifierTypeStateIssuer
9002388MedicaidRI
0600134OtherRIUNITED HEALTH

National Provider Directory

National Provider Directory

Locations

63 Park Sq
Ste 8
North Smithfield, RI 02896
Phone (401) 414-3485

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1053578492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 EDDIE DOWLING HIGHWAY",
            "address_2": "SUITE 8",
            "city": "NORTH SMITHFIELD",
            "state": "RI",
            "postal_code": "02896",
            "telephone_number": "401-765-1213",
            "fax_number": "401-765-7995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 EDDIE DOWLING HWY",
            "address_2": "SUITE 8",
            "city": "NORTH SMITHFIELD",
            "state": "RI",
            "postal_code": "028967322",
            "telephone_number": "401-765-1213",
            "fax_number": "401-765-7995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL S. OLIN, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-22",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "OLIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-765-1213",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "RI",
            "license": "RI5369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9002388",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH",
            "identifier": "0600134",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Smithfield, RI

Sources for this page

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

Verify at the official NPI Registry.