Edward Charles Olsgard, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

G25166 Issued in CA

Practice address

2675 Harris St
Eureka, CA 95503-4806

Phone

(707) 443-8335

Fax

(707) 443-7327

NPI assigned

Jun 13, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259107200000",
    "number": "1689617482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 HARRIS ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955034806",
            "telephone_number": "707-443-8335",
            "fax_number": "707-443-7327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2675 HARRIS ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955034806",
            "telephone_number": "707-443-8335",
            "fax_number": "707-443-7327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSGARD",
        "first_name": "EDWARD",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2009-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G25166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Oliver
• Lillian Page Oliver
• Alisha Robin Olmo
• Gaylynn Marie Olsen I, RN
• Marcelle Anne Olsen, MFT
• Carmen Olson, B.A.
• Launa Olson, MA
• Angela Olveda
• Jon A Omey, DDS
• Luke Andrew Omey, D.D.S.

• Specialist in Eureka, CA
• Providers in Eureka, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.