Ronald Kevin Olm, DPM, FACFAS, C-PED

Primary specialty

PodiatristTaxonomy code 213E00000X

License

5901001664 Issued in MI

Practice address

4246 3 Mile Rd N
Traverse City, MI 49686-9195

Phone

(231) 922-9100

Fax

(231) 922-9180

NPI assigned

May 31, 2005

Last updated

Jun 26, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Podiatry

Education

William M. Scholl College of Podiatric Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Munson Medical Center Hospital, Traverse City, MI, CCN 230097
• Kalkaska Memorial Health Center Hospital, Kalkaska, MI, CCN 231301

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GJFGAA/Endpoint/GJFGAA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Grand Traverse Foot & Ankle Center P.C.

  • Podiatrist
  • Traverse City, MI
  • NPI 1396928297
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Kalkaska Memorial Health Center

  • Critical Access Hospital
  • Kalkaska, MI
  • NPI 1497751309
  Care Compare affiliation
• Munson Medical Center

  • General Acute Care Hospital
  • Traverse City, MI
  • NPI 1952307852
  Care Compare affiliation

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372204800000",
    "number": "1356344741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4246 3 MILE RD N",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496869195",
            "telephone_number": "231-922-9100",
            "fax_number": "231-922-9180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4246 3 MILE RD N",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496869195",
            "telephone_number": "231-922-9100",
            "fax_number": "231-922-9180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLM",
        "first_name": "RONALD",
        "middle_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "DPM, FACFAS, C-PED",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2013-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901001664",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "R0001664",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2893049",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "(13)2893049",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Old Mission Wound Care West Virginia, PLLC
• Old Mission Wound Care Wisconsin LLC
• Old Town Psychological Services
• Anthony Wayne Oldham
• Jessi Olivia-Joy
• Nathan Olsen, N.D.
• Samuel Olsen Olsen
• Wayne L. Olsen, DDS
• Shannon Kristi Olshove, M.S., L.L.P.
• David Stanley Olson, MD

• Podiatrist in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2013; 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.

Verify at the official NPI Registry.