Active NPI
Sean Anthony Olsen, PA-C
- Physician Assistant
- Norman, OK
National Provider Identifier
1225575822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2724
- Practice address
- 3300 Healthplex Pkwy
Norman, OK 73072-9749 - Phone
- (405) 515-1000
- NPI assigned
- Jan 21, 2017
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2724 | OK | Primary |
Addresses
Primary practice location
3300 Healthplex Pkwy
Norman, OK 73072-9749
Mailing address
2900 S Telephone Rd
Suite 250
Moore, OK 73160-2968
Phone (405) 237-7500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2724 | OK | MD | Mental Health Counselor |
Interoperability endpoints
- solsen983871@directc.mercy.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484956800000",
"number": "1225575822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 S TELEPHONE RD",
"address_2": "SUITE 250",
"city": "MOORE",
"state": "OK",
"postal_code": "731602968",
"telephone_number": "405-237-7500",
"fax_number": "405-237-7512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 HEALTHPLEX PKWY",
"city": "NORMAN",
"state": "OK",
"postal_code": "730729749",
"telephone_number": "405-515-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSEN",
"first_name": "SEAN",
"middle_name": "ANTHONY",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-01-21",
"last_updated": "2017-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OK",
"license": "2724",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norman, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.