Organization Active NPI

Noel H Olsen MD Inc

  • Specialist
  • Fall River, MA
National Provider Identifier
1790993194
Registry record updated Nov 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
36504 Issued in MA
Legal business name
NOEL H OLSEN MD INC
Practice address
1030 President Ave
Suite 306
Fall River, MA 02720-5923
Phone
(508) 676-3411
Fax
(508) 646-1576
NPI assigned
May 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2009

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

Authorized official

Name
Mrs. Maria F Pereira
Title
Medical Secretary
Phone
(508) 676-3411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 36504 MA Primary

Addresses

Primary practice location

1030 President Ave
Suite 306
Fall River, MA 02720-5923

Mailing address

1030 President Ave
Suite 306
Fall River, MA 02720-5923
Phone (508) 676-3411

Other identifiers 1

IdentifierTypeStateIssuer
9723889MedicaidMA

National Provider Directory

National Provider Directory

Locations

1030 President Ave
Ste 306
Fall River, MA 02720
Phone (401) 751-7546

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258070400000",
    "number": "1790993194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 PRESIDENT AVE",
            "address_2": "SUITE 306",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027205923",
            "telephone_number": "508-676-3411",
            "fax_number": "508-646-1576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 PRESIDENT AVE",
            "address_2": "SUITE 306",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027205923",
            "telephone_number": "508-676-3411",
            "fax_number": "508-646-1576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOEL H OLSEN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2009-11-13",
        "status": "A",
        "authorized_official_last_name": "PEREIRA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "MEDICAL SECRETARY",
        "authorized_official_telephone_number": "508-676-3411",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MA",
            "license": "36504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9723889",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2009; 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.