Individual provider Active NPI

Daniel J Olson, DPM

  • Foot & Ankle Surgery Podiatrist
  • Erie, PA
National Provider Identifier
1255395224
Registry record updated Sep 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
SC005751 Issued in PA
Practice address
3850 Walker Blvd
Erie, PA 16509-1627
Phone
(814) 864-2360
Fax
(814) 864-2383
NPI assigned
Apr 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X SC005751 PA Primary

Addresses

Primary practice location

3850 Walker Blvd
Erie, PA 16509-1627

Mailing address

3850 Walker Blvd
Erie, PA 16509-1627
Phone (814) 864-2360

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20040707001157 PA Practitioner - Podiatry 5890773881 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay City Associates in Podiatry IncGroup PAC ID 2668554023, 5 clinicians

Practice addresses (Care Compare)

3850 Walker Blvd
Erie, PA 16509-1627
Phone (814) 864-2360

Hospital & facility affiliations

  • Visiting Nurse Association of Erie County Home health agency, Erie, PA, CCN 397034
  • Saint Vincent Hospital Hospital, Erie, PA, CCN 390009

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions51
Removal of nail tissue939
Removal or shaving of skin growth429
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC005751PAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bay City Associates in Podiatry Inc Foot & Ankle Surgery CurrentSince Oct 23, 2007 Accepting new patients
Bay City Associates in Podiatry Inc Foot & Ankle Surgery CurrentSince Oct 23, 2007 Accepting new patients
Erie Medical & Rehab Center Inc PastSince Mar 15, 2011 Accepting new patients

Locations

3850 Walker Blvd
Erie, PA 16509
Phone (814) 860-1661

232 W 25th St
Erie, PA 16544
Phone (814) 452-5337

3901 Liberty St
Erie, PA 16509
Phone (814) 864-2360

105 Mead Ave
Ste A
Meadville, PA 16335
Phone (814) 337-3668

Interoperability endpoints

  • Direct secure messaging: dolson@baycityassociatespodiatry.mdlogic.direct-ci.com

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568764800000",
    "number": "1255395224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3850 WALKER BLVD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165091627",
            "telephone_number": "814-864-2360",
            "fax_number": "814-864-2383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 WALKER BLVD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165091627",
            "telephone_number": "814-864-2360",
            "fax_number": "814-864-2383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "DANIEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2019-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC005751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.