Andrew Russell Olshen, MD

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

23633 Issued in OK

Practice address

333 S 36TH St
Muskogee, OK 74401-5046

Phone

(918) 682-2815

Fax

(918) 682-8643

NPI assigned

Jul 19, 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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Craige M. Brestel, M.D. PLLC

  • Obstetrics & Gynecology Physician
  • Muskogee, OK
  • NPI 1225298979
  NPD (past)
• Administrators of the Tulane Educational Fund

  • Specialist
  • New Orleans, LA
  • NPI 1528014164
  NPD (past)
• Colorado Rehabilitation and Occupational Medicine, PLLC

  • Physical Medicine & Rehabilitation Physician
  • Greenwood Village, CO
  • NPI 1588629927
  NPD (past)
• The Administrators of the Tulane Educational Fund

  • Specialist
  • New Orleans, LA
  • NPI 1437365863
  NPD (past)

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226448000000",
    "number": "1386663532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 S 36TH ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744015046",
            "telephone_number": "918-682-2815",
            "fax_number": "918-682-8643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 S 36TH ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744015046",
            "telephone_number": "918-682-2815",
            "fax_number": "918-682-8643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSHEN",
        "first_name": "ANDREW",
        "middle_name": "RUSSELL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2008-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OK",
            "license": "23633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200019260A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BNDD REGISTRATION",
            "identifier": "31758",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Oklahoma Em 1 Medical Services PC
• Oklahoma Families First Inc
• Oklahoma School for the Blind
• Dario A Oliphant, M.D., M.P.H.
• Darren Quincy Oliver, PRSS
• Carly Olzawski
• Om Imaging PLLC
• Om Tahlequah, Inc.
• On Target Counseling & Wellness Services LLC
• Lonnie Orman, APRN

• Physical Medicine & Rehabilitation Physician in Muskogee, OK
• Providers in Muskogee, OK by specialty
• Physical Medicine & Rehabilitation Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2008; 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.