Paul Norman Olson, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

032210 Issued in MN

Practice address

111 Golf Course Rd
Grand Rapids, MN 55744-3526

Phone

(218) 326-6677

NPI assigned

Jul 28, 2005

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 1

Medicare fee-for-service enrollment

Enrolled in MN

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 1

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 and National Provider Directory roles.

• Northern Itasca Hospital District

  • Critical Access Hospital
  • Bigfork, MN
  • NPI 1851335525
  Medicare reassignment NPD
• Arrowhead Consultation Service LTD

  • Radiology Clinic/Center
  • Grand Rapids, MN
  • NPI 1194725044
  NPD (past) Authorized official

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322524800000",
    "number": "1396745576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1318 SW 5TH ST",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557444600",
            "telephone_number": "218-327-3585",
            "fax_number": "218-327-2234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 GOLF COURSE RD",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557443526",
            "telephone_number": "218-326-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "PAUL",
        "middle_name": "NORMAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2011-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MN",
            "license": "032210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204068900",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bobbi Jean Olson, CNP
• Brenna Olson
• Dawn Marie Olson, FNP-BCP
• Emilee Olson
• Pamela M Olson, SLP
• Stacy Olson, LICSW
• Traci Kay Olson, RNFA
• Jared Onder, CRNA
• Oral and Maxillofacial Surgical Associates PA
• Heather A Orhn, WHCNP

• Diagnostic Radiology Physician in Grand Rapids, MN
• Providers in Grand Rapids, MN by specialty
• Diagnostic Radiology Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.