Active NPI
Daniel J Olson, DPM
- Foot & Ankle Surgery Podiatrist
- Erie, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- SC005751
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
Practice addresses (Care Compare)
3850 Walker Blvd
Erie, PA 16509-1627
Phone (814) 864-2360
Hospital & facility affiliations
- Visiting Nurse Association of Erie County
- Saint Vincent Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 51 |
| Removal of nail tissue | 939 |
| Removal or shaving of skin growth | 429 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC005751 | PA | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bay City Associates in Podiatry Inc | Foot & Ankle Surgery | Current | Accepting new patients |
| Bay City Associates in Podiatry Inc | Foot & Ankle Surgery | Current | Accepting new patients |
| Erie Medical & Rehab Center Inc | Past | 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
- 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.
-
- Foot & Ankle Surgery Podiatrist
- Erie, PA
- NPI 1659490894
-
- Foot & Ankle Surgery Podiatrist
- Meadville, PA
- NPI 1891345104
-
- Chiropractor
- Erie, PA
- NPI 1053573915
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Erie, PA
- NPI 1861435042
-
- Home Health Agency
- Erie, PA
- NPI 1932196136
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2019; 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.