Individual provider Active NPI

Steven Robert Olson, MD

  • Diagnostic Radiology Physician
  • Greensboro, NC
National Provider Identifier
1861476053
Registry record updated Aug 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
9300265 Issued in NC
Practice address
1317 N Elm St
Suite 1B
Greensboro, NC 27401-1023
Phone
(336) 274-9617
Fax
(336) 482-2177
NPI assigned
Dec 1, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X 9300265 NC
Diagnostic Radiology Physician 2085R0202X 9300265 NC Primary

Addresses

Primary practice location

1317 N Elm St
Suite 1B
Greensboro, NC 27401-1023

Mailing address

1317 N. Elm Street
Suite 1B
Greensboro, NC 27401-1023
Phone (336) 274-9617

Other identifiers 5

IdentifierTypeStateIssuer
300085680OtherNCRAILROAD MEDICARE
8964141MedicaidNC
1601586OtherNCUNITED HEALTHCARE
73482OtherNCMEDCOST
64141OtherNCBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20071022000143 NC Practitioner - Diagnostic Radiology 2365538469 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Jun 1, 2009 Accepting new patients
Diagnostic Radiology & Imaging LLC Diagnostic Radiology CurrentSince Sep 30, 1997 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Jun 1, 2009 Accepting new patients
Greensboro Radiology, PA Diagnostic Radiology CurrentSince Aug 1, 1998 Accepting new patients
Southeastern Orthopaedic Specialists, PA CurrentSince Jan 1, 2016 Accepting new patients

Locations

364 White Oak St
Asheboro, NC 27203
Phone (336) 625-5151

1130 N Church St
Ste 100
Greensboro, NC 27401
Phone (336) 375-2300

1317 N Elm St
Ste 1B
Greensboro, NC 27401
Phone (336) 274-4285

1331 N Elm St
Ste 200
Greensboro, NC 27401
Phone (336) 274-4285

315 W Wendover Ave
Greensboro, NC 27408
Phone (336) 273-0530

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

1131 N Church St
Greensboro, NC 27401
Phone (336) 358-5100

1814 Westchester Dr
Ste 100
High Point, NC 27262
Phone (336) 802-2397

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344556800000",
    "number": "1861476053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 N. ELM STREET",
            "address_2": "SUITE 1B",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011023",
            "telephone_number": "336-274-9617",
            "fax_number": "336-482-2177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 N ELM ST",
            "address_2": "SUITE 1B",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011023",
            "telephone_number": "336-274-9617",
            "fax_number": "336-482-2177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "STEVEN",
        "middle_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-01",
        "last_updated": "2012-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "NC",
            "license": "9300265",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "9300265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "300085680",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8964141",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1601586",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "73482",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "64141",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.