Gary A Olson, CRNA

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

42680 030 Issued in WI

Practice address

900 Illinois Ave
Stevens Point, WI 54481-3114

Phone

(715) 341-7920

Fax

(715) 341-0776

NPI assigned

Jul 17, 2006

Sex

Male

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Stevens Point Anesthesia Association, S.C.

  • Anesthesiology Physician
  • Stevens Point, WI
  • NPI 1659305399
  NPD (past)

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346268448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 CENTERPOINT DR STE 303",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544812849",
            "telephone_number": "715-341-7920",
            "fax_number": "715-341-0776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 ILLINOIS AVE",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544813114",
            "telephone_number": "715-341-7920",
            "fax_number": "715-341-0776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "GARY",
        "middle_name": "A",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WI",
            "license": "42680 030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43273500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas P O'Malley Jr, MD
• Lori A O'Neal, APNP
• Tami Odonnell, RDH
• Odyssey Healthcare Holding Company
• Robert Mathew Oertel, LCSW/LPC
• Stephanie A Olson, PT, MSPT, OCS
• David C Onan, PA
• Daniel L. Ongna, M.D.
• Onpoint Performance LLC
• Nancy L Ontl, PHYSICIAL THERAPIST

• Anesthesiology Physician in Stevens Point, WI
• Providers in Stevens Point, WI by specialty
• Anesthesiology Physician in Wisconsin

• 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.

Verify at the official NPI Registry.