Individual provider Active NPI

Thomas Hunter Olson, D.P.M.

  • Podiatrist
  • Rock Hill, SC
National Provider Identifier
1114908860
Registry record updated May 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
604 Issued in SC
Practice address
724 Arden Lane
Suite 200
Rock Hill, SC 29732-3257
Phone
(803) 366-9440
Fax
(803) 366-7704
NPI assigned
Nov 9, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 604 SC Primary

Addresses

Primary practice location

724 Arden Lane
Suite 200
Rock Hill, SC 29732-3257

Mailing address

724 Arden Lane
Suite 200
Rock Hill, SC 29732-3257
Phone (803) 366-9440

Other identifiers 1

IdentifierTypeStateIssuer
PD6041MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100407000045 SC Practitioner - Podiatry 9436101664 Practice locations: Rock Hill, SC

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

724 Arden LN
Suite 200
Rock Hill, SC 29732-3257
Phone (803) 366-9440

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue85
Removal of nail tissue376
Removal or shaving of skin growth342

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
604SCMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Serei Y. Lee, DPM PA Podiatrist PastSince Jun 1, 2020 Accepting new patients
Robert Neville & Associates PA Podiatrist Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JBDBCD

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274313600000",
    "number": "1114908860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 ARDEN LANE",
            "address_2": "SUITE 200",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297323257",
            "telephone_number": "803-366-9440",
            "fax_number": "803-366-7704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 ARDEN LANE",
            "address_2": "SUITE 200",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297323257",
            "telephone_number": "803-366-9440",
            "fax_number": "803-366-7704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "THOMAS",
        "middle_name": "HUNTER",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-09",
        "last_updated": "2010-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "SC",
            "license": "604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PD6041",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

Verify at the official NPI Registry.