Robert M Olson, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME0066579 Issued in FL

Practice address

3138 Northside Dr
Key West, FL 33040-8028

Phone

(305) 295-3838

Fax

(305) 295-7772

NPI assigned

Jan 8, 2007

Last updated

Sep 16, 2014By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Affiliated

  dba Northside Medical Associates

  • Cardiovascular Disease Physician
  • Key West, FL
  • NPI 1518366178
  NPD (past) Authorized official

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410825600000",
    "number": "1376691311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3138 NORTHSIDE DR",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330408028",
            "telephone_number": "305-295-3838",
            "fax_number": "305-295-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3138 NORTHSIDE DR",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330408028",
            "telephone_number": "305-295-3838",
            "fax_number": "305-295-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "ROBERT",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2014-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0066579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "376475300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Louis Oconnor, PH.D.
• Paul Oien, PHARMD
• Priscilla Michelle Okeefe
• Old Town Community Health Center
• Old Town Medical Centers, LLC
• Mohamed Omar
• James Nelson Ong, D.M.D.
• Noah Opalsky
• Oppenheimer Eye Clinic, PA
• Daren Oppenheimer

• Internal Medicine Physician in Key West, FL
• Providers in Key West, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; 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.