Active NPI
Douglas J Olson, MD
- Radiation Oncology Physician
- Edina, MN
National Provider Identifier
1740272210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 24103
- Practice address
- Southdale Radiation Therapy Ctr
6401 France Ave S
Edina, MN 55434 - Phone
- (952) 920-8477
- Fax
- (952) 920-5365
- NPI assigned
- Aug 19, 2005
- 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 |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 24103 | MN | Primary |
Addresses
Primary practice location
Southdale Radiation Therapy Ctr
6401 France Ave S
Edina, MN 55434
Mailing address
MPLS Radiation Oncology
6950 France Ave S #200
Edina, MN 55435
Phone (952) 920-4915
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2409880 | Other | MN | MEDICA |
| 963070250002 | Other | MN | PREFERRED ONE |
| 104834 | Other | MN | UCARE |
| 105691 | Other | MN | CHOICE PLUS |
| 12379 | Medicaid | ND | |
| 12840OL | Other | MN | BLUE CROSS/BLUE SHIELD |
| 25135 | Other | MN | AMERICA'S PPO |
| HP14103 | Other | MN | HEALTH PARTNERS |
| 30624000 | Medicaid | WI | |
| 2400004 | Other | MN | MEDICA PRIMARY |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1740272210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MPLS RADIATION ONCOLOGY",
"address_2": "6950 FRANCE AVE S #200",
"city": "EDINA",
"state": "MN",
"postal_code": "55435",
"telephone_number": "952-920-4915",
"fax_number": "952-915-6091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SOUTHDALE RADIATION THERAPY CTR",
"address_2": "6401 FRANCE AVE S",
"city": "EDINA",
"state": "MN",
"postal_code": "55434",
"telephone_number": "952-920-8477",
"fax_number": "952-920-5365"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "DOUGLAS",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-19",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "MN",
"license": "24103",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "2409880",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "963070250002",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "104834",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHOICE PLUS",
"identifier": "105691",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "12379",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "12840OL",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICA'S PPO",
"identifier": "25135",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "HP14103",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30624000",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA PRIMARY",
"identifier": "2400004",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Edina, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.