Active NPI
Larry Dean Olson
- Orthopaedic Surgery Physician
- Columbus, IN
National Provider Identifier
1851321426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 1029948
- Practice address
- 940 N Marr Rd
Suite C
Columbus, IN 47201-2610 - Phone
- (812) 376-9353
- Fax
- (812) 376-3757
- NPI assigned
- Jul 3, 2006
- Last updated
- Jan 4, 2010
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 1029948 | IN | Primary |
Addresses
Primary practice location
940 N Marr Rd
Suite C
Columbus, IN 47201-2610
Mailing address
940 N Marr Rd
Suite C
Columbus, IN 47201-2610
Phone (812) 376-9353
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200040852 | Other | IN | RAILROAD MEDICARE |
| 000000195463 | Other | IN | ANTHEM |
| SIHO | Other | IN | 003682 |
| 100323370 | Medicaid | IN |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1029948 | IN | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Major Hospital | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262563200000",
"number": "1851321426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "940 N MARR RD",
"address_2": "SUITE C",
"city": "COLUMBUS",
"state": "IN",
"postal_code": "472012610",
"telephone_number": "812-376-9353",
"fax_number": "812-376-3757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "940 N MARR RD",
"address_2": "SUITE C",
"city": "COLUMBUS",
"state": "IN",
"postal_code": "472012610",
"telephone_number": "812-376-9353",
"fax_number": "812-376-3757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "LARRY",
"middle_name": "DEAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2010-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "IN",
"license": "1029948",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "200040852",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000195463",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "003682",
"identifier": "SIHO",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100323370",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbus, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.