Individual provider Active NPI

Scott E. Olsson, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Cypress, TX
National Provider Identifier
1972682136
Registry record updated Nov 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
L8153 Issued in TX
Practice address
21216 Northwest Fwy
Suite 680
Cypress, TX 77429-4695
Phone
(713) 467-5111
Fax
(713) 467-5198
NPI assigned
Nov 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X L8153 TX Primary

Addresses

Primary practice location

21216 Northwest Fwy
Suite 680
Cypress, TX 77429-4695

Mailing address

21216 Northwest Fwy
Suite 680
Cypress, TX 77429-4695
Phone (713) 467-5111

Other identifiers 2

IdentifierTypeStateIssuer
1700346-01MedicaidTX
8P8350OtherTXBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20040325001321 TX Practitioner - Thoracic SurgeryPractitioner - General SurgeryPractitioner - Cardiac Surgery 8820980857 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
TMH Physician Associates PLLC CurrentSince Oct 7, 2019 Accepting new patients
TMH Physician Associates PLLC CurrentSince Oct 7, 2019 Accepting new patients
Lone Star Elite Cardiothoracic Specialists, PLLC Thoracic Surgery (Cardiothoracic Vascular Surgery) Current Accepting new patients
Cardio Thoracic Vascular & Pediatric Surgery Assoc PC Thoracic Surgery (Cardiothoracic Vascular Surgery) Past Accepting new patients
Health Services of Central Georgia, Inc Past Accepting new patients
Atlanta Cardiac & Thoracic Surgery Past Accepting new patients
Michael P. Macris, M.D. P.a. Thoracic Surgery (Cardiothoracic Vascular Surgery) Past Accepting new patients

Locations

7575 San Felipe St
Ste 155
Houston, TX 77063
Phone (713) 266-9955

6550 Fannin St
Ste 447
Houston, TX 77030
Phone (713) 441-0633

16605 Southwest Fwy
Ste 400
Sugar Land, TX 77479
Phone (281) 275-0800

Organizations & group practices 7

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": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321920000000",
    "number": "1972682136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21216 NORTHWEST FWY",
            "address_2": "SUITE 680",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774294695",
            "telephone_number": "713-467-5111",
            "fax_number": "713-467-5198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21216 NORTHWEST FWY",
            "address_2": "SUITE 680",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774294695",
            "telephone_number": "713-467-5111",
            "fax_number": "713-467-5198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSSON",
        "first_name": "SCOTT",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2011-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "TX",
            "license": "L8153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1700346-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "8P8350",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

Verify at the official NPI Registry.