Active NPI
Erik Olsen, M.D.
- Emergency Medicine Physician
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 4301088733
- Practice address
- 4201 St. Antoine 6G Uhc
Department of Emergency Medicine Detroit Medical Center
Detroit, MI 48201 - Phone
- (313) 993-2530
- NPI assigned
- Apr 24, 2008
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 4301088733 | MI | Primary |
Addresses
Primary practice location
4201 St. Antoine 6G Uhc
Department of Emergency Medicine Detroit Medical Center
Detroit, MI 48201
Mailing address
4201 St. Antoine 6G Uhc
Department of Emergency Medicine Detroit Medical Center
Detroit, MI 48201
Phone (313) 993-2530
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Wayne State University School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1900 Columbus Ave
Bay City, MI 48708-6831
Phone (989) 894-3000
Hospital & facility affiliations
- McLaren Bay Region
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301088733 | MI | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLaren Hospital Group | Emergency Medicine | Current | Accepting new patients |
| McLaren Medical Group | Emergency Medicine | Current | Accepting new patients |
| McLaren Medical Group | Current | Accepting new patients |
Locations
1900 Columbus Ave
Bay City, MI 48708
Phone (989) 894-3000
39373 Garfield Rd
Clinton Twp, MI 48038
Phone (586) 286-4880
401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000
385 N Lapeer Rd
Oxford, MI 48371
Phone (248) 628-2597
50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300
Interoperability endpoints
- eolsen@direct.dmc.org
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Flint, MI
- NPI 1942026174
-
- Diagnostic Radiology Physician
- Lapeer, MI
- NPI 1073650750
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bay City, MI
- NPI 1528031226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208995200000",
"number": "1598930232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4201 ST. ANTOINE 6G UHC",
"address_2": "DEPARTMENT OF EMERGENCY MEDICINE DETROIT MEDICAL CENTER",
"city": "DETROIT",
"state": "MI",
"postal_code": "48201",
"telephone_number": "313-993-2530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 ST. ANTOINE 6G UHC",
"address_2": "DEPARTMENT OF EMERGENCY MEDICINE DETROIT MEDICAL CENTER",
"city": "DETROIT",
"state": "MI",
"postal_code": "48201",
"telephone_number": "313-993-2530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSEN",
"first_name": "ERIK",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-24",
"last_updated": "2008-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MI",
"license": "4301088733",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.