Individual provider Active NPI

Joshua Olsen, M.D.

  • Orthopaedic Surgery Physician
  • Canandaigua, NY
National Provider Identifier
1114169331
Registry record updated Aug 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
279664 Issued in NY
Practice address
229 Parrish St
Suite 100
Canandaigua, NY 14424-1791
Phone
(585) 394-1960
Fax
(585) 393-9232
NPI assigned
Apr 2, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 279664 NY Primary

Addresses

Primary practice location

229 Parrish St
Suite 100
Canandaigua, NY 14424-1791

Mailing address

229 Parrish St
Suite 100
Canandaigua, NY 14424-1791
Phone (585) 394-1960

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20150821013774 NY Practitioner - Orthopedic Surgery 2567687130 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
State University of New York at Stony Brook, School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greater Rochester Orthopaedics, PCGroup PAC ID 9931091261, 11 clinicians

Practice addresses (Care Compare)

30 Hagen Dr
Suite 220
Rochester, NY 14625-2658
Phone (585) 295-5476

Hospital & facility affiliations

  • Rochester Regional Health Home Care Home health agency, Rochester, NY, CCN 337066
  • Unity Hospital Hospital, Rochester, NY, CCN 330226

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement29
Lower limb (leg) arthroscopy (minimally invasive joint repair)21
Upper limb (arm) arthroscopy (minimally invasive joint repair)47

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Rochester Orthopaedics, PC Orthopaedic Surgery CurrentSince May 1, 2019 Accepting new patients
Westside Orthopaedic Group P.C. Orthopaedic Surgery Past Accepting new patients
Rochester General Hospital PastSince May 1, 2019 Accepting new patients

Locations

2621 Culver Rd
Rochester, NY 14609
Phone (585) 295-5476

2211 Lyell Ave
Ste 107
Rochester, NY 14606
Phone (585) 295-5476

30 Hagen Dr
Ste 220
Rochester, NY 14625
Phone (585) 295-5476

Organizations & group practices 3

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 8

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": "1238630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439337600000",
    "number": "1114169331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 PARRISH ST",
            "address_2": "SUITE 100",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144241791",
            "telephone_number": "585-394-1960",
            "fax_number": "585-393-9232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 PARRISH ST",
            "address_2": "SUITE 100",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144241791",
            "telephone_number": "585-394-1960",
            "fax_number": "585-393-9232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSEN",
        "first_name": "JOSHUA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-02",
        "last_updated": "2015-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "279664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canandaigua, NY

Sources for this page

Verify at the official NPI Registry.