Daniel J Olsen, D.O.

Primary specialty

Surgery of the Hand (Surgery) PhysicianTaxonomy code 2086S0105X

License

DO009921 Issued in MI

Practice address

2000 Burton St SE
Grand Rapids, MI 49506-4670

Phone

(616) 241-5534

Fax

(616) 241-4868

NPI assigned

Apr 19, 2006

Last updated

Sep 8, 2015By 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 Osteopathy

State licenses

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.

• Daniel Olsen DO

  • Orthopaedic Hand Surgery Physician
  • Grand Rapids, MI
  • NPI 1811173412
  Authorized official Same address or phone

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441670400000",
    "number": "1396700761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 BURTON ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495064670",
            "telephone_number": "616-241-5534",
            "fax_number": "616-241-4868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 BURTON ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495064670",
            "telephone_number": "616-241-5534",
            "fax_number": "616-241-4868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSEN",
        "first_name": "DANIEL",
        "middle_name": "J",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2015-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": "MI",
            "license": "DO009921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2880701",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Olmetti-O'Loughlin, LMT
• Abigale Olmstead
• Julie Kaye Olmstead, RN
• Kelsee Olmstead
• Christine Marie Olree, R.N.
• Hannah Katharine Olsen, M.S. OTR/L
• Maria-Luisa Reyes Olsen, M.D.
• Alexandria Olson
• Christine Olson, MA, NCC, LLPC
• Conner Olson

• Surgery of the Hand (Surgery) Physician in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Surgery of the Hand (Surgery) Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2015; 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.