David Orla Olson, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Wall, SD
NPI 1821094582 · NPPES record last updated Aug 30, 2011
Key facts
- NPI
- 1821094582
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- R012071 (SD)
- Practice address
- 118 Golf Course Rd
Wall, SD 57790-0026 - Phone
- (605) 279-2089
- NPI assigned
- Jun 27, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10835 | NE | MD | Pharmacist |
| R012071 | SD | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Platte Nebraska Physician Group LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Digestive Health Management, Inc. | Past |
Accepting new patients | |
| Anesthesia Group of Grand Island PC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R012071 | SD | Yes |
Addresses
Primary practice location
118 Golf Course Rd
Wall, SD 57790-0026
Mailing address
118 Golf Course Rd
PO Box 26
Wall, SD 57790-2007
Phone (605) 279-2089
Other providers in Wall, SD
- Crystal Kay Deal
- Cynthia Sue Dinger
- Eastern Pennington County Ambulance District Inc
- Monument Health Rapid City Hospital, Inc.
- Monument Health Rapid City Hospital, Inc.
- Rapid City Regional Hospital Inc
- Rapid City Regional Hospital, Inc.
- Regional Health Physicians Inc
- Regional Health Physicians, Inc.
- Regional Health Physicians, Inc.
All providers in Wall, SD · Certified Registered Nurse Anesthetist in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 30, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.