Active NPI
Robert Harold Olson, MD
- Surgery Physician
- Wheat Ridge, CO
National Provider Identifier
1851329684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 18854
- Practice address
- 3455 Lutheran Pkwy
Suite 290
Wheat Ridge, CO 80033-6028 - Phone
- (303) 467-1400
- Fax
- (303) 467-1467
- NPI assigned
- Jun 29, 2006
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 18854 | CO | Primary |
Addresses
Primary practice location
3455 Lutheran Pkwy
Suite 290
Wheat Ridge, CO 80033-6028
Mailing address
3455 Lutheran Pkwy
Suite 290
Wheat Ridge, CO 80033-6028
Phone (303) 467-1400
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01188549 | Medicaid | CO | |
| OLB3518 | Other | CO | ANTHEM BCBS OF CO |
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 |
|---|---|---|---|
| 18854 | CO | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422921600000",
"number": "1851329684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3455 LUTHERAN PKWY",
"address_2": "SUITE 290",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "800336028",
"telephone_number": "303-467-1400",
"fax_number": "303-467-1467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3455 LUTHERAN PKWY",
"address_2": "SUITE 290",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "800336028",
"telephone_number": "303-467-1400",
"fax_number": "303-467-1467"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "ROBERT",
"middle_name": "HAROLD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-29",
"last_updated": "2015-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CO",
"license": "18854",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01188549",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS OF CO",
"identifier": "OLB3518",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wheat Ridge, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.