Individual provider Active NPI

Elizabeth Frances Marie Olds

  • Pediatrics Physician
  • Norwalk, OH
National Provider Identifier
1154784627
Registry record updated Aug 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35.136872 Issued in OH
Practice address
282 Benedict Ave Ste B
Norwalk, OH 44857-2712
Phone
(419) 668-9409
Fax
(419) 668-7099
NPI assigned
Apr 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35.136872 OH Primary

Addresses

Primary practice location

282 Benedict Ave Ste B
Norwalk, OH 44857-2712

Mailing address

282 Benedict Ave Ste B
Norwalk, OH 44857-2712
Phone (419) 668-9409

Other identifiers 1

IdentifierTypeStateIssuer
0357749MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20190906000844 OH Practitioner - Pediatric Medicine 4183919319 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fisher-Titus Medical Care LLC CurrentSince Aug 1, 2019 Accepting new patients
Fisher-Titus Medical Center Current Accepting new patients

Locations

521 N Sandusky St
Bellevue, OH 44811
Phone (419) 483-2190

272 Benedict Ave
Norwalk, OH 44857
Phone (419) 668-1341

282 Benedict Ave
Ste B
Norwalk, OH 44857
Phone (419) 668-9409

2500 W Strub Rd
Ste 310
Sandusky, OH 44870
Phone (419) 621-0158

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": "1459468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566777600000",
    "number": "1154784627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "282 BENEDICT AVE STE B",
            "city": "NORWALK",
            "state": "OH",
            "postal_code": "448572712",
            "telephone_number": "419-668-9409",
            "fax_number": "419-668-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "282 BENEDICT AVE STE B",
            "city": "NORWALK",
            "state": "OH",
            "postal_code": "448572712",
            "telephone_number": "419-668-9409",
            "fax_number": "419-668-7099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLDS",
        "first_name": "ELIZABETH",
        "middle_name": "FRANCES MARIE",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-01",
        "last_updated": "2019-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35.136872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0357749",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, OH

Sources for this page

Verify at the official NPI Registry.