Affiliated

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

ME0066579 Issued in FL

Legal business name

AFFILIATED

Practice address

5900 College Rd
Ekg-Dept.
Key West, FL 33040-4342

Phone

(305) 295-3838

Fax

(305) 295-7772

NPI assigned

Aug 20, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Robert Michael Olson, M.D.NPI 1376691311

Title

President

Phone

(305) 295-3838

Specialties & licenses 1

Addresses

Other names 1

• Northside Medical Associates Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert M Olson, MD

  • Internal Medicine Physician
  • Key West, FL
  • NPI 1376691311
  NPD (past) Authorized official

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

{
    "created_epoch": "1408492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408492800000",
    "number": "1518366178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3138 NORTHSIDE DR",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330408028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 COLLEGE RD",
            "address_2": "EKG-DEPT.",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330404342",
            "telephone_number": "305-295-3838",
            "fax_number": "305-295-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFILIATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-20",
        "last_updated": "2014-08-20",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-295-3838",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME0066579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northside Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• A.H. of Monroe County, Inc.
• A.H. of Monroe County, Inc.
• A.H. of Monroe County, Inc.
• A.H. of Monroe County, Inc.
• Karla Zoe Adams
• Affiliated Medical Practices of Key West, Inc.
• Paola Aguilos, RN
• Jorge A. Aguinaga, M.D.
• Ahi Specialty Clinic, Inc.
• Kazim Ahounou, OTR/L

• All providers in Key West, FL
• Cardiovascular Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2014; 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.