Jonathan A Olin, M.D.

Primary specialty

Sleep Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084S0012X

License

30331 Issued in CO

Practice address

1500 Cochrane CR
Dept Behav Health
Ft Carson, CO 80913

Phone

(719) 526-7155

NPI assigned

Jan 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Sleep MedicineAlso: Psychiatry

Education

University of Colorado School of Medicine, Denver, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Delta Waves IncGroup PAC ID 7810905072, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Delta Waves, Inc.

  • Sleep Disorder Diagnostic Clinic/Center
  • Colorado Springs, CO
  • NPI 1740238427
  Medicare reassignment Care Compare group NPD
• Delta Waves of Woodland Park Inc

  • Sleep Disorder Diagnostic Clinic/Center
  • Pueblo, CO
  • NPI 1679892475
  NPD (past)

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223942400000",
    "number": "1861472995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 COCHRANE CR",
            "address_2": "EACH DEPT BEHAV HEALTH",
            "city": "FT CARSON",
            "state": "CO",
            "postal_code": "80913",
            "telephone_number": "719-526-7155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 COCHRANE CR",
            "address_2": "DEPT BEHAV HEALTH",
            "city": "FT CARSON",
            "state": "CO",
            "postal_code": "80913",
            "telephone_number": "719-526-7155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIN",
        "first_name": "JONATHAN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2008-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "30331",
            "primary": false
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "CO",
            "license": "30331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arne Edward Oas IV, MPAS, PA-C
• Daniel Kieran Oconor
• Karen Michell Olazabal
• Sara Jo Oleson, DDS
• Beth R Olin, ED.D.
• Matthew J.C. Oliver, DDS
• Kylie Michelle Olson, PT, DPT
• Tyler Olson, PT, DPT
• Cathy Ann Oly, PA-C
• Michael Ometer

• Sleep Medicine (Psychiatry & Neurology) Physician in Ft Carson, CO
• Providers in Ft Carson, CO by specialty
• Sleep Medicine (Psychiatry & Neurology) Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.