David Edwin Olson Sr., MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

7913 Issued in SD

Practice address

3515 Broadway Ave
Yankton, SD 57078-7600

Phone

(605) 668-3100

Fax

(605) 668-3460

NPI assigned

Mar 31, 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

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

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295913600000",
    "number": "1902867609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7600",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570787600",
            "telephone_number": "320-224-4959",
            "fax_number": "605-668-3460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 BROADWAY AVE",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570787600",
            "telephone_number": "605-668-3100",
            "fax_number": "605-668-3460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "DAVID",
        "middle_name": "EDWIN",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2011-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MN",
            "license": "20299",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SD",
            "license": "7913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "506080000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon Isabelle O'Malley
• Ashley Olivier, CAC
• Beryl Jolene Olson, MOT, OTR/L
• Brian Olson, DC
• Byron C Olson, PHARM D
• Cynthia Ann Ordyna
• Orthopedics International LLC
• Anthony Osborn
• Alexandra L Pagel, PSY.D.
• Venkata Siva Kumar Pajjuru, MD

• Psychiatry Physician in Yankton, SD
• Providers in Yankton, SD by specialty
• Psychiatry Physician in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2011; 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.