Harold Michael Olson IV, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5501 Issued in MN

Practice address

258 Pine Tree Drive
Bigfork, MN 56628

Phone

(218) 743-3559

NPI assigned

Mar 10, 2011

Last updated

Mar 10, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northern Itasca Hospital DistrictGroup PAC ID 3274442173, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bigfork Valley Hospital Hospital, Bigfork, MN, CCN 241316

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Northern Itasca Hospital District

  dba Bigfork Valley Hospital

  • Critical Access Hospital
  • Bigfork, MN
  • NPI 1851335525
  Medicare reassignment Care Compare group NPD
• Northern Itasca Hospital District

  dba Bigfork Valley Communities

  • Skilled Nursing Facility
  • Bigfork, MN
  • NPI 1831133990
  NPD (past)

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

• Northern Itasca Hospital District

  dba Bigfork Valley Hospital

  • Critical Access Hospital
  • Bigfork, MN
  • NPI 1851335525
  Care Compare affiliation

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

{
    "created_epoch": "1299715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299715200000",
    "number": "1679871909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30132 E MALLARD POINT RD",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557446332",
            "telephone_number": "701-318-1465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 PINE TREE DRIVE",
            "city": "BIGFORK",
            "state": "MN",
            "postal_code": "56628",
            "telephone_number": "218-743-3559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "HAROLD",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-10",
        "last_updated": "2011-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northern Itasca Hospital District (Bigfork Valley Home Care)
• Northern Itasca Hospital District (Bigfork Valley Communities)
• Northern Itasca Hospital District (Bigfork Valley Hospital)
• Northern Itasca Hospital Pharmacy (Bigfork Valley Hospital Pharmacy)
• NRS Arizona, PA
• Keith Conrad Pearson, RPH
• George Edward Rounds, M.D.
• Eric P Scrivner, M.D.
• Jeffrey P Scrivner, M.D.
• Sabrina A Seyller, NP

• Chiropractor in Bigfork, MN
• Providers in Bigfork, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.