Daniel Olson, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME134798 Issued in FL

Practice address

12920 Summerfield Crossing Blvd
Riverview, FL 33579-7210

Phone

(813) 998-8980

NPI assigned

Mar 30, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637884800000",
    "number": "1053706945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12920 SUMMERFIELD CROSSING BLVD",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335797210",
            "telephone_number": "138-998-8980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12920 SUMMERFIELD CROSSING BLVD",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335797210",
            "telephone_number": "813-998-8980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "DANIEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-30",
        "last_updated": "2021-11-26",
        "certification_date": "2021-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME134798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rose Okwany
• Laurel Olajide
• Mariana Eteri Oliva, M.D.
• Frank Oliver, DO
• Samantha Oliveri
• Ebony Patrice Olton, ARNP
• Robert Olton, PA
• Omni Healthcare Services, Inc. (Omni Healthcare)
• Omni Pain Care, LLC (Omni Spine & Joint - Riverview)
• Natalie Marie Oncel, APRN

• Internal Medicine Physician in Riverview, FL
• Providers in Riverview, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2021; 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.

Verify at the official NPI Registry.