Patricia M Olm, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

22349 Issued in AZ

Practice address

1050 N San Francisco St
Ste B
Flagstaff, AZ 86001-3259

Phone

(928) 214-3737

Fax

(928) 214-3837

NPI assigned

Sep 22, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Patricia M Godfrey-Olm Other name

Medicare fee-for-service enrollment

Enrolled in AZ

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Flagstaff Medical Center

  • General Acute Care Hospital
  • Flagstaff, AZ
  • NPI 1780635078
  Medicare reassignment NPD
• Flagstaff Medical Center

  dba Flagstaff Pharmacy

  • Community/Retail Pharmacy
  • Flagstaff, AZ
  • NPI 1649348442
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483660800000",
    "number": "1306832670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N BEAVER ST",
            "address_2": "PAYER CREDENTIALING",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013118",
            "telephone_number": "928-213-6235",
            "fax_number": "928-213-6292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 N SAN FRANCISCO ST",
            "address_2": "STE B",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013259",
            "telephone_number": "928-214-3737",
            "fax_number": "928-214-3837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLM",
        "first_name": "PATRICIA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-22",
        "last_updated": "2017-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "22349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "738093",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "809202",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AZ0379910",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "GODFREY-OLM",
            "middle_name": "M",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Leah Skrabal Okun, DC
• Roger David Oldroyd, D.D.S.
• Octavio Olivas Jr., DO, MPH
• Vaughn Milton Oliver, D.D.S.
• Megan Ollila
• Devin G Olsen, DO
• Barbara Ann Olson, P.T.
• Bradley Allen Olson, PH.D.
• Cathy Lynn Olson, RD, CDE
• Clarice Olson

• Internal Medicine Physician in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.