Active NPI
Jeffrey Charles Olson, DO
- Emergency Medicine Physician
- Bonita Springs, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- OS7357
- Practice address
- 10731 Halfmoon Shoal Rd Apt 103
Bonita Springs, FL 34135-1753 - Phone
- (800) 224-0859
- NPI assigned
- Dec 5, 2005
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | OS7357 | FL | Primary |
Addresses
Primary practice location
10731 Halfmoon Shoal Rd Apt 103
Bonita Springs, FL 34135-1753
Mailing address
10731 Halfmoon Shoal Rd Apt 103
Bonita Springs, FL 34135-1753
Phone (800) 224-0859
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 57464 | Other | FL | BCBS |
| 251761200 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- West Virginia School of Osteopathic Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13030 Livingston Rd
Naples, FL 34105-5024
Phone (239) 403-3772
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.65 of 100
- Quality
- 90.03
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tampa Bay Emergency Physicians-Heartland LLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Medicine Services of FL, LLC | Emergency Medicine | Current | Accepting new patients |
| Paragon Emergency Services LLC | Emergency Medicine | Current | Accepting new patients |
| Osprey Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
| Florida Em-I Medical Services, PA | Emergency Medicine | Past | Accepting new patients |
| City Circle ER SVCS Partnership LLC | Emergency Medicine | Past | Accepting new patients |
| Oceanwind ER SVCS Partnership LLC | Emergency Medicine | Past | Accepting new patients |
| Emcare Physician Providers, Inc. | Emergency Medicine | Past | Accepting new patients |
| Blue Job Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
| Venice Emergency Medical Associates PA | Emergency Medicine | Past | Accepting new patients |
| Naples Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
| Sebring Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
| Florida Em-I Medical Services PA | Emergency Medicine | Past | Accepting new patients |
Locations
322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858
200 Tequesta Dr
Destin, FL 32541
Phone (850) 837-9194
1000 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 374-9610
3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404
1210 US Highway 27 N
Lake Placid, FL 33852
Phone (863) 465-3777
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
1809 Granada St
Navarre, FL 32566
Phone (850) 684-6200
8383 N Davis Hwy
Pensacola, FL 32514
Phone (850) 494-3212
105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953
14000 Fivay Rd
Port Richey, FL 34667
Phone (727) 819-2929
1800 SE Tiffany Ave
Port St Lucie, FL 34952
Phone (772) 398-1969
21298 Olean Blvd
Pt Charlotte, FL 33952
Phone (941) 624-7032
5731 Bee Ridge Rd
Sarasota, FL 34233
Phone (888) 221-2216
3600 S Highlands Ave
Sebring, FL 33870
Phone (863) 385-6101
4200 Sun N Lake Blvd
Sebring, FL 33872
Phone (863) 314-4406
6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411
2626 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 325-5000
1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000
533 Carlton St
Wauchula, FL 33873
Phone (863) 767-8256
735 S 5th Ave
Wauchula, FL 33873
Phone (863) 402-3402
Organizations & group practices 15
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.
-
- Urgent Care Clinic/Center
- Naples, FL
- NPI 1427265776
-
- Emergency Medicine Physician
- Aventura, FL
- NPI 1043917180
-
- Emergency Medicine Physician
- Winter Haven, FL
- NPI 1912101650
-
- Emergency Medicine Physician
- Sebring, FL
- NPI 1043661408
-
- Emergency Medicine Physician
- Naples, FL
- NPI 1174991632
-
- Emergency Medicine Physician
- Fort Walton Beach, FL
- NPI 1457760142
-
- Emergency Medicine Physician
- Sebring, FL
- NPI 1144279357
-
- Emergency Medicine Physician
- Punta Gorda, FL
- NPI 1376592063
-
- Emergency Medicine Physician
- Lakeland, FL
- NPI 1871542720
-
- Emergency Medicine Physician
- Tallahassee, FL
- NPI 1083046049
-
- Emergency Medicine Physician
- Punta Gorda, FL
- NPI 1255389656
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba AdventHealth Cancer Institute Sebring
- General Acute Care Hospital
- Sebring, FL
- NPI 1083692594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174507834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10731 HALFMOON SHOAL RD APT 103",
"city": "BONITA SPRINGS",
"state": "FL",
"postal_code": "341351753",
"telephone_number": "800-224-0859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10731 HALFMOON SHOAL RD APT 103",
"city": "BONITA SPRINGS",
"state": "FL",
"postal_code": "341351753",
"telephone_number": "800-224-0859"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "JEFFREY",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "OS7357",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "57464",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "251761200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bonita Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.