Individual provider Active NPI

Andrew C Olsen, DO

  • Pain Medicine Physician
  • Akron, OH
National Provider Identifier
1053873950
Registry record updated Aug 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
34.015940 Issued in OH
Practice address
1493 S Hawkins Ave
Akron, OH 44320-3416
Phone
(330) 865-5333
Fax
(216) 957-2884
NPI assigned
Apr 1, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 34.015940 OH
General Practice Physician 208D00000X 34.015940 OH
Pain Medicine Physician 208VP0000X 34.015940 OH Primary

Addresses

Primary practice location

1493 S Hawkins Ave
Akron, OH 44320-3416

Mailing address

1493 S Hawkins Ave
Akron, OH 44320-3416
Phone (330) 865-5333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20221229001223 OH Practitioner - Pain ManagementPractitioner - Osteopathic Manipulative Medicine 2163755901 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summa Physicians LLCGroup PAC ID 2961303532, 692 clinicians

Practice addresses (Care Compare)

1493 S Hawkins Ave
Akron, OH 44320-3416
Phone (330) 865-5333

155 5TH St NE
Barberton, OH 44203-3332

525 E Market St
Akron, OH 44304-1619

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Summa Physicians LLC CurrentSince Aug 26, 2024 Accepting new patients
Summa Physicians LLC Pain Medicine CurrentSince Aug 26, 2024 Accepting new patients
Signify Health, LLC General Practice CurrentSince Sep 29, 2022 Accepting new patients
Summa Physicians LLC Current Accepting new patients
The Metrohealth System Current Accepting new patients
Summa Physicians LLC Past Accepting new patients

Locations

1493 S Hawkins Ave
Akron, OH 44320
Phone (330) 865-5320

1077 Gorge Blvd
Akron, OH 44310
Phone (234) 312-5691

525 E Market St
Akron, OH 44304
Phone (330) 375-6350

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

175 S 3rd St
Ste 200
Columbus, OH 43215
Phone (267) 817-8902

1790 Graybill Rd
Ste 100
Green, OH 44685
Phone (234) 312-5331

3780 Medina Rd
Ste 250
Medina, OH 44256
Phone (330) 253-1800

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: aolsen183825@direct.metrohealth.org

Organizations & group practices 6

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1554076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724544000000",
    "number": "1053873950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1493 S HAWKINS AVE",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443203416",
            "telephone_number": "330-865-5333",
            "fax_number": "216-957-2884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1493 S HAWKINS AVE",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443203416",
            "telephone_number": "330-865-5333",
            "fax_number": "216-957-2884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSEN",
        "first_name": "ANDREW",
        "middle_name": "C",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-01",
        "last_updated": "2024-08-25",
        "certification_date": "2024-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "OH",
            "license": "34.015940",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OH",
            "license": "34.015940",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "OH",
            "license": "34.015940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.