Active NPI
Mark Roger Olsen, M.D.
- Hematology & Oncology Physician
- Tulsa, OK
National Provider Identifier
1356382592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 20723
- Practice address
- 12697 E 51St St
Tulsa, OK 74146-6236 - Phone
- (918) 505-3200
- Fax
- (918) 505-3253
- NPI assigned
- Jun 9, 2006
- Last updated
- May 8, 2014
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 20723 | OK | Primary |
Addresses
Primary practice location
12697 E 51St St
Tulsa, OK 74146-6236
Mailing address
12697 E 51St St
Tulsa, OK 74146-6236
Phone (918) 505-3200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Medical Oncology
- Education
- University of Wisconsin School of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12697 E 51St St
Tulsa, OK 74146-6236
Phone (918) 505-3200
1923 S Utica Ave
Tulsa, OK 74104-6520
3470 E Frank Phillips Blvd
Bartlesville, OK 74006-2406
Phone (918) 331-1760
Hospital & facility affiliations
- Ascension at Home - Tulsa
- Ascension St John Medical Center
- Cherokee Nation W W Hastings Indian Hospital
- Saint Francis Hospital, Inc
- Saint Francis Hospital South, LLC
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Promoting interoperability
- 99
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20723 | OK | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oklahoma Cancer Specialists and Research Institute LLC | Current | Accepting new patients | |
| Oklahoma Cancer Specialists and Research Institute, LLC | Current | Accepting new patients | |
| Oklahoma Cancer Specialists and Research Institute LLC | Hematology & Oncology | Current | Accepting new patients |
| Oklahoma Oncology & Hematology PC | Hematology & Oncology | Past | Accepting new patients |
Locations
901 N Strong Blvd
McAlester, OK 74501
Phone (918) 426-0625
12697 E 51st St
Tulsa, OK 74146
Phone (918) 505-3200
Interoperability endpoints
- molsen277364@ahs.direct-ci.com
Organizations & group practices 4
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.
-
- MOHS-Micrographic Surgery Physician
- Broken Arrow, OK
- NPI 1104291236
-
- Hematology & Oncology Physician
- Tulsa, OK
- NPI 1962876045
-
- Surgical Oncology Physician
- Tulsa, OK
- NPI 1194396721
-
- Hematology & Oncology Physician
- Tulsa, OK
- NPI 1295785392
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tahlequah, OK
- NPI 1275799645
-
dba Saint Francis Hospital South
- General Acute Care Hospital
- Tulsa, OK
- NPI 1376561944
-
- Rehabilitation Hospital Unit
- Tulsa, OK
- NPI 1003039488
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1144228487
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1154417368
-
- Rehabilitation Hospital Unit
- Tulsa, OK
- NPI 1578656161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399507200000",
"number": "1356382592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12697 E 51ST ST",
"city": "TULSA",
"state": "OK",
"postal_code": "741466236",
"telephone_number": "918-505-3200",
"fax_number": "918-505-3253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12697 E 51ST ST",
"city": "TULSA",
"state": "OK",
"postal_code": "741466236",
"telephone_number": "918-505-3200",
"fax_number": "918-505-3253"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSEN",
"first_name": "MARK",
"middle_name": "ROGER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-09",
"last_updated": "2014-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "OK",
"license": "20723",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2014; 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.