NPIMap

Individual provider Active NPI

Joan E Olson, MD

  • Internal Medicine Physician
  • Seattle, WA
National Provider Identifier
1629070123
Registry record updated Oct 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD00036520 Issued in WA
Practice address
4540 Union Bay PL NE
Seattle, WA 98105-4025
Phone
(206) 320-8050
Fax
(206) 320-8048
NPI assigned
Aug 15, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD00036520 WA Primary

Addresses

Primary practice location

4540 Union Bay PL NE
Seattle, WA 98105-4025

Mailing address

PO Box 25608
Salt Lake City, UT 84125-0608
Phone (206) 320-4476

Other practice location 1

510 Boren Ave N
Seattle, WA 98109-5501
Phone (206) 320-5200

Other identifiers 1

IdentifierTypeStateIssuer
P00138764OtherWARAILROAD MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jolson1042758@wm.providencedirect.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040413001398 WA Practitioner - Internal Medicine 9931193851 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Swedish Health ServicesGroup PAC ID 9537072814, 384 clinicians

Practice addresses (Care Compare)

4540 Union Bay PL NE
Seattle, WA 98105-4025
Phone (206) 320-3400

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD00036520WAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Swedish Health Services Internal Medicine Current Accepting new patients
Swedish Health Services Internal Medicine CurrentSince Jan 1, 2014 Accepting new patients
Swedish Health Services CurrentSince Jan 1, 2014 Accepting new patients
Northwest Hospital Provider Trust Past Accepting new patients
Northwest Hospital & Medical Center Past Accepting new patients
Northwest Hospital Providers Trust Past Accepting new patients
Northwest Hospital Providers TR Past Accepting new patients

Locations

4540 Union Bay Pl NE
Seattle, WA 98105
Phone (206) 320-3400

510 Boren Ave N
Seattle, WA 98109
Phone (206) 320-5200

2450 33rd Ave W
Ste 100
Seattle, WA 98199
Phone (206) 320-3364

800 5th Ave
Ste 600
Seattle, WA 98104

6322 Roosevelt Way NE
Seattle, WA 98115
Phone (206) 201-0544

Interoperability endpoints

  • Direct secure messaging: jolson1042758@wm.providencedirect.org

Organizations & group practices 7

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602115200000",
    "number": "1629070123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25608",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841250608",
            "telephone_number": "206-320-4476",
            "fax_number": "206-233-7489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4540 UNION BAY PL NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981054025",
            "telephone_number": "206-320-8050",
            "fax_number": "206-320-8048"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "510 Boren Ave N",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981095501",
            "country_code": "US",
            "telephone_number": "206-320-5200",
            "fax_number": "206-320-5202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLSON",
        "first_name": "JOAN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-15",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00036520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00138764",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jolson1042758@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4540 Union Bay Pl NE",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981054025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.