Individual provider Active NPI

Jeffrey Charles Olson, DO

  • Emergency Medicine Physician
  • Bonita Springs, FL
National Provider Identifier
1174507834
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
OS7357 Issued in FL
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, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
57464OtherFLBCBS
251761200MedicaidFL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050308000677 FL Practitioner - Emergency Medicine 5395799886 Reassigns benefits to 5 organizations

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
ER Quickcare PLGroup PAC ID 2466525977, 9 clinicians

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 100Reported as group
Quality
90.03
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa Bay Emergency Physicians-Heartland LLC Emergency Medicine CurrentSince Apr 1, 2024 Accepting new patients
Emergency Medicine Services of FL, LLC Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Paragon Emergency Services LLC Emergency Medicine CurrentSince Oct 1, 2023 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.

View all 15

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.