Olsen Orthopedics, PLLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

4132 Issued in OK

Legal business name

OLSEN ORTHOPEDICS, PLLC

Practice address

1140 S Douglas Blvd
Midwest City, OK 73130-5236

Phone

(405) 733-8000

Fax

(405) 733-7820

NPI assigned

Feb 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Larry Todd Olsen, DO

Title

Owner

Phone

(405) 733-8000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joe Bynum Bourland, PA

  • Physician Assistant
  • Midwest City, OK
  • NPI 1306827373
  Medicare reassignment

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628467200000",
    "number": "1093853731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 S DOUGLAS BLVD",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731305236",
            "telephone_number": "405-733-8000",
            "fax_number": "405-733-7820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 S DOUGLAS BLVD",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731305236",
            "telephone_number": "405-733-8000",
            "fax_number": "405-733-7820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLSEN ORTHOPEDICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A",
        "authorized_official_last_name": "OLSEN",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-733-8000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "OK",
            "license": "4132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Owolabi Mojeed Oladele
• Kazeem Olawuyi
• Alexis Oldham
• Angela Oliver
• Sherri Olivera
• Onyx Health & Wellness, LLC
• David Onzahwah
• Opal Harris
• Oral Surgeons of Oklahoma LLC
• Shalanda Irene Orange

• Orthopaedic Surgery Physician in Midwest City, OK
• Providers in Midwest City, OK by specialty
• Orthopaedic Surgery Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.