Individual provider Active NPI

Patrick Olsen, D.O.

  • Anesthesiology Physician
  • Philadelphia, PA
National Provider Identifier
1396125068
Registry record updated Jun 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
278071 Issued in MA
Practice address
245 N 15TH St
Room 7150
Philadelphia, PA 19102-1101
Phone
(215) 762-3585
NPI assigned
Jun 8, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 278071 MA Primary

Addresses

Primary practice location

245 N 15TH St
Room 7150
Philadelphia, PA 19102-1101

Mailing address

30 Medical Center Blvd
Chester, PA 19013-3955
Phone (610) 874-6448

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, PA, NJ3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20190405000675 MA Practitioner - Anesthesiology 9537400205 Reassigns benefits to 1 organization
I20200818003865 PA Practitioner - Anesthesiology 9537400205 Reassigns benefits to 2 organizations
I20210621001405 NJ Practitioner - Anesthesiology 9537400205 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Lake Erie College of Osteopathic Medicine, Erie, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Parkway Anesthesia Associates LLCGroup PAC ID 2567758931, 313 clinicians

Practice addresses (Care Compare)

300 Central Ave
East Orange, NJ 07018-2819
Phone (973) 672-8400

Hospital & facility affiliations

  • Inspira Medical Center Mullica Hill Hospital, Elmer, NJ, CCN 310069

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Anesthesia, Inc. Anesthesiology CurrentSince Aug 1, 2020 Accepting new patients
Temple Faculty Practice Plan Inc Anesthesiology CurrentSince Oct 7, 2021 Accepting new patients
Beth Israel Deaconess Medical Center, Inc. CurrentSince Feb 26, 2019 Accepting new patients
Temple Faculty Practice Plan Inc CurrentSince Oct 7, 2021 Accepting new patients
South Jersey Anesthesia and Pain Physicians PC Anesthesiology CurrentSince Apr 20, 2021 Accepting new patients
Beth Israel Deaconess Medical Center, Inc. CurrentSince Feb 26, 2019 Accepting new patients
Parkway Anesthesia Associates LLC Anesthesiology CurrentSince Apr 1, 2025 Accepting new patients
Associates in Anesthesia Anesthesiology Past Accepting new patients

Locations

330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000

300 Central Ave
East Orange, NJ 07018
Phone (973) 266-8460

1 Bay Ave
Montclair, NJ 07042
Phone (973) 429-6100

199 Mullica Hill Rd
Mullica Hill, NJ 08062
Phone (856) 312-3110

99 State Route 37 W
Toms River, NJ 08755
Phone (732) 240-8000

509 N Broad St
Woodbury, NJ 08096
Phone (856) 686-5396

1212 Baltimore Pike
Ste 200
Chadds Ford, PA 19317
Phone (610) 874-4147

30 Medical Center Blvd
Chester, PA 19013
Phone (610) 497-7545

30 Medical Center Blvd
Ste 305
Chester, PA 19013
Phone (610) 619-7411

3401 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3807

333 Cottman Ave
Philadelphia, PA 19111
Phone (215) 728-3893

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/0d26bd04-9128-4f58-8e6d-ffda5cd00f89/

Organizations & group practices 8

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1433721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592956800000",
    "number": "1396125068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 MEDICAL CENTER BLVD",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "190133955",
            "telephone_number": "610-874-6448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 N 15TH ST",
            "address_2": "ROOM 7150",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191021101",
            "telephone_number": "215-762-3585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSEN",
        "first_name": "PATRICK",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-08",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MA",
            "license": "278071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.