Mary R Olsovsky, M.D.

Primary specialty

Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X

License

37736 Issued in CO

Practice address

1400 E Boulder St
Suite 700
Colorado Springs, CO 80909-5533

Phone

(719) 635-7172

Fax

(719) 444-3759

NPI assigned

Jun 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Memorial Health System

  • General Acute Care Hospital
  • Colorado Springs, CO
  • NPI 1568668754
  NPD (past)
• Pikes Peak Cardiology a Professional LLP

  • Specialist
  • Colorado Springs, CO
  • NPI 1558363705
  NPD (past)
• Uch-MHS

  • Ambulance
  • Colorado Springs, CO
  • NPI 1417512559
  NPD (past)

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371686400000",
    "number": "1891737300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8890 N UNION BLVD",
            "address_2": "STE 160",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809207799",
            "telephone_number": "719-635-7172",
            "fax_number": "719-444-3759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E BOULDER ST",
            "address_2": "SUITE 700",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809095533",
            "telephone_number": "719-635-7172",
            "fax_number": "719-444-3759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSOVSKY",
        "first_name": "MARY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-11",
        "last_updated": "2013-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "CO",
            "license": "37736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03475077",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Olson, BCBA
• Mark W Olson, MPT
• Mary Kathryn Olson, MSW, LCSW, CACIII
• Mekenzie Leigh Olson, RBT
• Sara Ann Olson, PA-C
• Shelby E Olsson, MPA, MSN, FNP-BC
• Josha Olszen
• Atinuke Oluwatimilehin, PHARMD
• Stuart Kent Olvey, M.D.
• Brittany Ann Omer, FNP-C

• Clinical Cardiac Electrophysiology Physician in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Clinical Cardiac Electrophysiology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.