Active NPI
Noel H Olsen, M.D.,
- Neurology Physician
- Fall River, MA
National Provider Identifier
1306930011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 36504
- Practice address
- 1030 President Avenue
Suite 306
Fall River, MA 02720 - Phone
- (508) 676-3411
- Fax
- (508) 646-1576
- NPI assigned
- Oct 3, 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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 36504 | MA | Primary |
Addresses
Primary practice location
1030 President Avenue
Suite 306
Fall River, MA 02720
Mailing address
1030 President Avenue
Suite 306
Fall River, MA 02720
Phone (508) 676-3411
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0006601 | Other | MA | NEIGHBORHOOD HEALTH PLANS |
| 454629 | Other | MA | AETNA US HEALTHCARE |
| 11015 | Other | MA | HARVARD PILGRIM |
| 9723889 | Medicaid | MA | |
| SO 07787 | Other | CHAMPUS | |
| 706630 | Other | MA | TUFTS HEALTH PLANS |
| 104517 | Other | RI | BLUECHIP |
| 4517-7 | Other | RI | RI BCBS |
| 0501000 | Other | MA | UNITED HEALTHCARE |
| NO 00985 | Other | RI | EDS RI MEDICAID |
| 000000024259 | Other | MA | BOSTON MEDICAL HEALTHNET |
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)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36504 | MA | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Noel H Olsen MD Inc | Neurology | Past | Accepting new patients |
| Leslie Stern, M.D., PH..D., P.C. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Neurological Surgery Physician
- Fall River, MA
- NPI 1578771481
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306930011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1030 PRESIDENT AVENUE",
"address_2": "SUITE 306",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "02720",
"telephone_number": "508-676-3411",
"fax_number": "508-646-1576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1030 PRESIDENT AVENUE",
"address_2": "SUITE 306",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "02720",
"telephone_number": "508-676-3411",
"fax_number": "508-646-1576"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSEN",
"first_name": "NOEL",
"middle_name": "H",
"credential": "M.D.,",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MA",
"license": "36504",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH PLANS",
"identifier": "0006601",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA US HEALTHCARE",
"identifier": "454629",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "11015",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9723889",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS",
"identifier": "SO 07787",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLANS",
"identifier": "706630",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECHIP",
"identifier": "104517",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RI BCBS",
"identifier": "4517-7",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "0501000",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EDS RI MEDICAID",
"identifier": "NO 00985",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOSTON MEDICAL HEALTHNET",
"identifier": "000000024259",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fall River, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.