Walter L Olson, Jr., MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

29249 Issued in KY

Practice address

401 E Chestnut St.
Suite 510
Louisville, KY 40202-5710

Phone

(502) 589-0802

Fax

(502) 589-0805

NPI assigned

Apr 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• University Neurologists PSC

  • Neurology Physician
  • Louisville, KY
  • NPI 1417906215
  NPD (past)

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469491200000",
    "number": "1063479889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 909",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402010909",
            "telephone_number": "502-588-0320",
            "fax_number": "502-588-0326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E CHESTNUT ST.",
            "address_2": "SUITE 510",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402025710",
            "telephone_number": "502-589-0802",
            "fax_number": "502-589-0805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON, JR.",
        "first_name": "WALTER",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2016-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "KY",
            "license": "29249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64029242",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vincent F Olshove Jr., CCP
• John N Olsofka, M.D.
• Angie C Olson, LCSW
• Erik K Olson, MD
• John W Olson, DDS
• Marianne Olson, MS, GC
• Merrideth Louise Olson, BA, RBT
• Oliver Elliott Olson, APRN-NP
• Stephanie Olson, OT
• Maria-Amabelle Olvera

• Neurology Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Neurology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2016; 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.