Edwin Olson, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

J1338 Issued in TX

Practice address

221 W Colorado
Ste 831
Dallas, TX 75208

Phone

(214) 946-8856

Fax

(214) 946-5848

NPI assigned

Jun 15, 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

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464739200000",
    "number": "1730123647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 975300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "759375300",
            "telephone_number": "214-946-8856",
            "fax_number": "214-946-5848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 W COLORADO",
            "address_2": "STE 831",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75208",
            "telephone_number": "214-946-8856",
            "fax_number": "214-946-5848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "EDWIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2016-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "J1338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "88K980",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "047039501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "060020985",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Craig Howard Olson, MD
• David N. Olson, CRNA
• David Scott Olson, D.C.
• Dean Olson, LCSW
• Dylan Alexander Olson, MD
• Erin Elizabeth Olson, MD
• Jeanne Olson, LAT
• Linda Olson
• Michelle M Olson, MD
• Rose Elizabeth Olson

• Cardiovascular Disease Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Cardiovascular Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.