Stephen A. Olson, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

04-28897 Issued in KS

Practice address

4013 N Ridge Rd
Ste. 210
Wichita, KS 67205-8857

Phone

(316) 945-7309

Fax

(316) 945-9131

NPI assigned

Jul 13, 2006

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

Not listed in the public Medicare enrollment file

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.

• Bethany Medical Center

  • Anatomic Pathology & Clinical Pathology Physician
  • Kernersville, NC
  • NPI 1619398997
  NPD (past)
• Bethany Medical Center

  • Internal Medicine Physician
  • High Point, NC
  • NPI 1952404188
  NPD (past)

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423612800000",
    "number": "1487679759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4013 N. RIDGE RD. STE 210",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67205",
            "telephone_number": "316-945-7309",
            "fax_number": "316-945-9131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4013 N RIDGE RD",
            "address_2": "STE. 210",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672058857",
            "telephone_number": "316-945-7309",
            "fax_number": "316-945-9131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "STEPHEN",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2015-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KS",
            "license": "04-28897",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100402670A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Timothy Edward Olsen, LPC
• Aaron Daniel Olson, MD
• Audra L Olson, PA
• Carley Olson, PA-C
• Kelsey Olson
• Terisa Olson, CRNA
• Diana C Oltean, APRN
• Nicole Lea Oltmer
• Oluwapelumi Oluwole, M.D
• Peshiancy Olwith

• Surgery Physician in Wichita, KS
• Providers in Wichita, KS by specialty
• Surgery Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.