Active NPI
Thomas A Olen, D.O.
- Anesthesiology Physician
- Midland, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 5101011629
- Practice address
- 4005 Orchard Dr
Midland, MI 48670-0001 - Phone
- (989) 839-3606
- Fax
- (989) 839-1509
- NPI assigned
- Jul 12, 2006
- Last updated
- Jul 8, 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 | 5101011629 | MI | Primary |
Addresses
Primary practice location
4005 Orchard Dr
Midland, MI 48670-0001
Mailing address
4005 Orchard Dr
Midland, MI 48670-0001
Phone (989) 839-3606
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5674130 | Other | MI | AETNA |
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
- Anesthesiology
- Education
- Michigan State University College of Osteopathic Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1105 6TH St
Traverse City, MI 49684-2345
Phone (231) 935-5000
3663 N Country Dr
Traverse City, MI 49684-4587
Phone (231) 252-1228
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Munson Medical Group | Current | Accepting new patients | |
| Munson Healthcare Otsego Memorial Hospital | Current | Accepting new patients | |
| Munson Medical Group | Current | Accepting new patients | |
| Munson Healthcare Otsego Memorial Hospital | Current | Accepting new patients | |
| Munson Healthcare Otsego Memorial Hospital | Current | Accepting new patients | |
| Apollo Medical Group of Traverse City PLLC | Anesthesiology | Current | Accepting new patients |
| Munson Healthcare Otsego Memorial Hospital | Anesthesiology | Current | Accepting new patients |
| Munson Medical Center | Anesthesiology | Current | Accepting new patients |
| Munson Healthcare Otsego Memorial Hospital | Current | Accepting new patients | |
| Munson Healthcare Otsego Memorial Hospital | Current | Accepting new patients | |
| Munson Medical Group | Current | Accepting new patients | |
| Mid Michigan Anesthesiology Group, PC | Anesthesiology | Current | Accepting new patients |
Locations
2891 Momentum Pl
Chicago, IL 60689
825 N Center Ave
Gaylord, MI 49735
Phone (989) 731-2100
829 N Center Ave
Ste 210
Gaylord, MI 49735
Phone (989) 731-7860
4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956
4005 Orch Dr
Midland, MI 48670
Phone (989) 839-3100
1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000
1105 Sixth St
Ste 103
Traverse City, MI 49684
Phone (231) 935-6455
1200 Sixth St
Ste 200
Traverse City, MI 49684
1400 Medical Campus Dr
Traverse City, MI 49684
Phone (231) 935-8000
3663 N Country Dr
Traverse City, MI 49684
Phone (231) 252-1228
4100 Park Forest Dr
Traverse City, MI 49684
Phone (231) 392-8900
Organizations & group practices 12
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
- Traverse City, MI
- NPI 1467093153
-
dba Traverse Heart and Vascular
- Cardiovascular Disease Physician
- Traverse City, MI
- NPI 1821398322
-
- Anesthesiology Physician
- Midland, MI
- NPI 1932131349
-
dba Munson Healthcare OMH Medical Group-Gaylord RHC
- Rural Health Clinic/Center
- Gaylord, MI
- NPI 1164628426
-
- Anesthesiology Physician
- Traverse City, MI
- NPI 1710735287
-
- Certified Registered Nurse Anesthetist
- Gaylord, MI
- NPI 1376568865
-
- Emergency Medical Services (Emergency Medicine) Physician
- Gaylord, MI
- NPI 1376657239
-
- Anesthesiology Physician
- Gaylord, MI
- NPI 1518982073
-
dba MHC Great Lakes Plastic Surgery & Skin Center- Petoskey
- Plastic Surgery Physician
- Petoskey, MI
- NPI 1770374530
-
dba Munson Healthcare OMH Medical Group-Gaylord
- General Practice Physician
- Gaylord, MI
- NPI 1821064643
-
dba Munson Healthcare Foster Family Primary Care
- Family Medicine Physician
- Traverse City, MI
- NPI 1154104842
-
dba MHC Cedarwoods Internal Medicine and Geriatrics
- Geriatric Medicine (Internal Medicine) Physician
- Traverse City, MI
- NPI 1326801440
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Traverse City, MI
- NPI 1952307852
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669497723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4005 ORCHARD DR",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486700001",
"telephone_number": "989-839-3606",
"fax_number": "989-839-1509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4005 ORCHARD DR",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486700001",
"telephone_number": "989-839-3606",
"fax_number": "989-839-1509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLEN",
"first_name": "THOMAS",
"middle_name": "A",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MI",
"license": "5101011629",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5674130",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Midland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.