Robert Wayne Olson Jr., CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

AP604744388 Issued in WA

Practice address

3209 S 23Rd St Ste 200
Tacoma, WA 98405

Phone

(253) 272-5127

NPI assigned

Jul 3, 2014

Last updated

Apr 30, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Washington Gastroenterology PLLCGroup PAC ID 6204194848, 142 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Washington Gastroenterology PLLC

  • Gastroenterology Physician
  • Tacoma, WA
  • NPI 1306364401

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Anesthesia Associates, PS

  • Anesthesiology Physician
  • Spokane, WA
  • NPI 1831143254
  Medicare reassignment NPD
• Washington Gastroenterology PLLC

  • Clinical Medical Laboratory
  • Federal Way, WA
  • NPI 1245265826
  NPD
• Washington Gastroenterology PLLC

  dba Washington Gastroenterology Lab

  • Clinical Medical Laboratory
  • Federal Way, WA
  • NPI 1467011122
  NPD
• Western Washington Endoscopy Centers LLC

  dba Sunrise Endoscopy Center

  • Ambulatory Surgical Clinic/Center
  • Puyallup, WA
  • NPI 1982853271
  NPD (past)

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

{
    "created_epoch": "1404345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556582400000",
    "number": "1710393236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 S UNION AVE STE 200",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051323",
            "telephone_number": "360-413-8191",
            "fax_number": "253-682-2427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3209 S 23RD ST STE 200",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98405",
            "telephone_number": "253-272-5127"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "427 S Bernard St",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992042509",
            "country_code": "US",
            "telephone_number": "509-456-0107",
            "fax_number": "509-747-2635",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "427 S Bernard St",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992042509",
            "country_code": "US",
            "telephone_number": "509-456-0107",
            "fax_number": "509-747-2635",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLSON",
        "first_name": "ROBERT",
        "middle_name": "WAYNE",
        "name_suffix": "Jr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-03",
        "last_updated": "2019-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WA",
            "license": "AP604744388",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60010416",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1730187899",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE #",
            "identifier": "000357600",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily E Olson, DPT
• Erica Olson, MSW
• Gina M Olson, PA-C
• Janice L Olson, MD
• Nikol Olson
• Stacey Olson
• Susan Ann Olson, RNFA
• Tara Anastasia Olson, M.D.
• Tracy Olson
• Rebecca Olufade

• Certified Registered Nurse Anesthetist in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Certified Registered Nurse Anesthetist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2019; 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.