Olson Facial Plastic Surgery, P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

23526 Issued in AZ

Legal business name

OLSON FACIAL PLASTIC SURGERY, P.C.

Practice address

6340 N Campbell Ave
Suite 256
Tucson, AZ 85718-3186

Phone

(520) 200-2218

Fax

(520) 200-2935

NPI assigned

Nov 12, 2007

Organization subpart

No

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

Authorized official

Name

Jerold J Olson, MDNPI 1881745354

Title

MD/Owner

Phone

(520) 200-2218

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Foothills Facial Plastic Surgery Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jerold J. Olson, M.D.

  • Facial Plastic Surgery Physician
  • Tucson, AZ
  • NPI 1881745354
  Medicare reassignment Authorized official
• Karin A Myers, P.A.-C

  • Specialist
  • Tucson, AZ
  • NPI 1134213853
  NPD
• Kathy A Orlick, MD

  • Dermatology Physician
  • Tucson, AZ
  • NPI 1417940123

  Specialist

  NPD
• Mindy Lee Powell, MD

  • Specialist
  • Tucson, AZ
  • NPI 1083606305
  NPD
• Francisco J Trejo, P.A.

  • Physician Assistant
  • Tucson, AZ
  • NPI 1508866005
  NPD (past)

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

{
    "created_epoch": "1194825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775088000000",
    "number": "1891975413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6340 N CAMPBELL AVE",
            "address_2": "SUITE 256",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857183186",
            "telephone_number": "520-200-2218",
            "fax_number": "520-200-2935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6340 N CAMPBELL AVE",
            "address_2": "SUITE 256",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857183186",
            "telephone_number": "520-200-2218",
            "fax_number": "520-200-2935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLSON FACIAL PLASTIC SURGERY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-12",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "JEROLD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "520-200-2218",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AZ",
            "license": "23526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "23526",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10776640",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1881745354",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foothills Facial Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bryce David Olsen, D.O.
• Gary Paul Olsen, LMT
• Jayme Olsen
• Joshua Robert Olsen, PHARMD
• Kathryn Olsen, NP
• J. Kristin Olson-Garewal, MD
• Dania Olson-Gokovski, PHARMD
• Diane Lynn Olson-Joos
• Susan Victoria Olson-Smith, RN
• Alexis Olson

• Specialist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.