Active NPI
Mark Frederick Olson, MPH
- Student in an Organized Health Care Education/Training Program
- Monument, CO
National Provider Identifier
1679777262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 19847 Doewood Dr
Monument, CO 80132-3404 - Phone
- (719) 433-0095
- NPI assigned
- Jun 14, 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
19847 Doewood Dr
Monument, CO 80132-3404
Mailing address
19847 Doewood Dr
Monument, CO 80132-3404
Phone (719) 433-0095
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679777262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19847 DOEWOOD DR",
"city": "MONUMENT",
"state": "CO",
"postal_code": "801323404",
"telephone_number": "719-433-0095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19847 DOEWOOD DR",
"city": "MONUMENT",
"state": "CO",
"postal_code": "801323404",
"telephone_number": "719-433-0095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "MARK",
"middle_name": "FREDERICK",
"name_prefix": "Mr.",
"credential": "MPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monument, CO
- Holly Novak, COTA/L
- Timothy P O'Connor, BA.,CAC I I
- Thomas Patrick O'Hearn, PHD
- Teri Odle, LPC
- Olive Branch Counseling
- Michael James Oneill, MD
- Optumcare Colorado Medical Group LLC (Optum Colorado Springs - Monument)
- Optumcare Colorado Medical Group, LLC (Monument Pediatrics)
- Optumcare Colorado Medical Group, LLC (Monument Family Practice)
- Cynthia Maiorino Orta, CACI
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.