Active NPI
Jeffrey Wayne Olson, M.D.
- Anesthesiology Physician
- Newburgh, IN
National Provider Identifier
1801335328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 01025425A
- Practice address
- 7555 Fairview Dr
Newburgh, IN 47630-3057 - Phone
- (812) 853-2743
- NPI assigned
- Feb 16, 2017
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 01025425A | IN | Primary |
Addresses
Primary practice location
7555 Fairview Dr
Newburgh, IN 47630-3057
Mailing address
7555 Fairview Dr
Newburgh, IN 47630-3057
Phone (812) 853-2743
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01025425A | IN | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487203200000",
"number": "1801335328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7555 FAIRVIEW DR",
"city": "NEWBURGH",
"state": "IN",
"postal_code": "476303057",
"telephone_number": "812-853-2743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7555 FAIRVIEW DR",
"city": "NEWBURGH",
"state": "IN",
"postal_code": "476303057",
"telephone_number": "812-853-2743"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "JEFFREY",
"middle_name": "WAYNE",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-02-16",
"last_updated": "2017-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IN",
"license": "01025425A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newburgh, IN
- Ohio Valley Mindhealth LLC
- Ohio Valley Pain Intervention LLC (Genesis Health and Wellness)
- Ohio Valley Speech & Language Center LLC
- Old Town Counseling of Newburgh LLC
- Marianne Croft Olsen, RD
- Oncology Hematology Associates of Southwest Indiana
- Oncology Hematology Associates, PC
- Oncology/Hematology Associates of Southwest Indiana
- Jennifer Ann Onderak, PT
- Erin Onyett, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.