Active NPI
Lloyd V Olson, M.D.
- Anesthesiology Physician
- Colorado Springs, CO
National Provider Identifier
1417941899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 35852
- Practice address
- 2215 N Cascade Ave
Colorado Springs, CO 80907-6736 - Phone
- (719) 776-5000
- Fax
- (719) 448-0767
- NPI assigned
- Aug 31, 2005
- Last updated
- Oct 31, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 35852 | CO | Primary |
Addresses
Primary practice location
2215 N Cascade Ave
Colorado Springs, CO 80907-6736
Mailing address
PO Box 820
Colorado Springs, CO 80901-0820
Phone (719) 448-0981
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01358522 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35852 | CO | MD | Anesthesiology Physician |
| 025209 | WA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pikes Peak Anesthesia Associates P.C. | Anesthesiology | Past | Accepting new patients |
| Therapeutic Pain Services | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- Colorado Springs, CO
- NPI 1710091186
-
- Pain Medicine (Anesthesiology) Physician
- Colorado Springs, CO
- NPI 1982737680
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193788800000",
"number": "1417941899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 820",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809010820",
"telephone_number": "719-448-0981",
"fax_number": "719-448-0767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2215 N CASCADE AVE",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809076736",
"telephone_number": "719-776-5000",
"fax_number": "719-448-0767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "LLOYD",
"middle_name": "V",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-31",
"last_updated": "2007-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CO",
"license": "35852",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01358522",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.