Mark Olsen, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

0762 Issued in AZ

Practice address

220 N Stapley Dr
Suite 1
Mesa, AZ 85203-8057

Phone

(480) 833-5966

NPI assigned

Jul 2, 2010

Last updated

Sep 4, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arcadia Foot and Ankle PCGroup PAC ID 6204976723, 4 clinicians

Allen Foot and Ankle Medicine and Surgery PLCGroup PAC ID 0446351332, 15 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Arcadia Foot & Ankle PC

  • Foot & Ankle Surgery Podiatrist
  • Scottsdale, AZ
  • NPI 1982939419

  Primary Podiatric Medicine

  Medicare reassignment Care Compare group NPD Authorized official
• Allen Foot and Ankle Medicine and Surgery PLC

  • Primary Podiatric Medicine Podiatrist
  • Mesa, AZ
  • NPI 1477678704
  Medicare reassignment Care Compare group NPD
• Arcadia Foot & Ankle PC

  • Foot Surgery Podiatrist
  • Mesa, AZ
  • NPI 1669843611
  Authorized official Same address or phone
• Allen Foot and Ankle Medicine and Surgery PLC

  dba Allen Foot and Ankle Medicine- AZ Choice

  • Podiatrist
  • Gilbert, AZ
  • NPI 1417841537
  NPD
• Arcadia Foot & Ankle PC

  • Foot & Ankle Surgery Podiatrist
  • Sun City, AZ
  • NPI 1477152452
  NPD
• Suzanne Abraham

  • Podiatrist
  • Phoenix, AZ
  • NPI 1699727065
  NPD (past)

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

{
    "created_epoch": "1278028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409788800000",
    "number": "1124330436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 N STAPLEY DR",
            "address_2": "SUITE 1",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852038057",
            "telephone_number": "480-833-5966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 N STAPLEY DR",
            "address_2": "SUITE 1",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852038057",
            "telephone_number": "480-833-5966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSEN",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-02",
        "last_updated": "2014-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AZ",
            "license": "0762",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E5016",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Ann Olmstead, N.P.
• Ryan Olmstead, SLPA
• Diane Olsen, SPT
• Jeremy J Olsen, OD
• Lori J Olsen, LPC
• Tad Olsen
• Thomas J Olsen
• Adora Olson, PA-C
• Brooke R Olson, MSPT
• Carol K Olson, MD

• Foot & Ankle Surgery Podiatrist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Foot & Ankle Surgery Podiatrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.