Laird Ekholm Olson, M.D.
Individual provider Active NPI Radiation Oncology Physician · Canton, OH
NPI 1992779201 · NPPES record last updated Jun 22, 2021
Key facts
- NPI
- 1992779201
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Radiation Oncology Physician 2085R0001X
- License
- 35080218 (OH)
- Practice address
- 2600 Sixth St SW
Canton, OH 44710-1702 - Phone
- (330) 363-6201
- Fax
- (330) 363-6201
- NPI assigned
- Feb 14, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.12 of 100
- Quality
- 77.5
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 74.58
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100624000567 | OH | Practitioner - Radiation Oncology | 9537264320 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35080218 | OH | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tuscarawas Valley Regional Cancer Center | Past | Accepting new patients | |
| X-Ray Treatment Center | Radiation Oncology | Past | Accepting new patients |
| X-Ray Treatment Center, P.C. | Radiation Oncology | Past | Accepting new patients |
| American Oncologic Associates of Michigan, PC | Radiation Oncology | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 35080218 | OH | Yes |
Addresses
Primary practice location
2600 Sixth St SW
Canton, OH 44710-1702
Mailing address
2600 Sixth St SW
Canton, OH 44710-1702
Phone (330) 363-6201
Other providers in Canton, OH
- Brandy Lyn Oliver
- Sharon Oliver
- Sheridan Oliver
- Tyler Douglas Oliver
- Richard O Oloya
- Stephen Nelson Oluich
- Arthur A Olyai
- Steven E Olyejar
- Stacy Marie Omar
- Frank F Omerza
All providers in Canton, OH · Radiation Oncology Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 22, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.