Olidia Medical Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

OLIDIA MEDICAL INC

Practice address

476 West Minnehaha Ave
Saint Paul, MN 55103

Phone

(612) 567-7780

Fax

(763) 634-5997

NPI assigned

Mar 27, 2018

Organization subpart

No

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

Authorized official

Name

Olivier B Nkwonkam

Title

Ceo

Phone

(612) 567-7780

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1522108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522108800000",
    "number": "1396240966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "476 WEST MINNEHAHA AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "55103",
            "telephone_number": "612-567-7780",
            "fax_number": "763-634-5997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "476 WEST MINNEHAHA AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "55103",
            "telephone_number": "612-567-7780",
            "fax_number": "763-634-5997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIDIA MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-27",
        "last_updated": "2018-03-27",
        "status": "A",
        "authorized_official_last_name": "NKWONKAM",
        "authorized_official_first_name": "OLIVIER",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-567-7780"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Lynn Oldenburg, APRN, ACNS-BC
• Jennifer Oldham, MD
• Courtney Ann Olek
• Paul Robert Oler II, MD
• Olga Grun,PHD,PSYD, LLC
• Olidia Transit Inc
• Gabriel Alejandro Olivares Rodriguez, M.D.
• Olive Branch Creative Therapy, PLLC
• Oliver Ross Psychology and Consulting LLC
• Alyssa Marie Oliversen, DPT

• Durable Medical Equipment & Medical Supplies in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Durable Medical Equipment & Medical Supplies in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2018; 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.