JOHN D OLSEN (NPI# 1063402725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063402725 |
| Entity Type | Individual |
| Full Name | JOHN D OLSEN |
| Credential | MD |
| Practice Address |
1200 6th Ave N Saint Cloud MN 56303-2735 |
| Practice Telephone | 3202525131 |
| Practice Fax Number | 3202402118 |
| Mailing Telephone | 3202525131 |
| Mailing Fax Number | 3202402118 |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
33316 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICA HEALTH PLANS | 4829223 | 01 | |
| U-CARE | 109311 | 01 | |
| PREFERRED ONE | 986022 | 01 | |
| ARAZ GRP/AMERICA'S PPO | 596783 | 01 | |
| BLUE CROSS BLUE SHIELD | 6D081OL | 01 | |
| FIRST HEALTH PLAN | 2114091 | 01 | |
| HEALTH PARTNERS | HP25499 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306476288 | John Olsen | Registered Nurse | 5324 Kent Way, Pittsburgh, PA 15201-2538 | 2020-01-20 |
| 1861778979 | John B Olsen | Pharmacist | 9133 Kedvale Ave, Oak Lawn, IL 60453-1916 | 2011-11-02 |
| 1235256298 | John F. Olsen IIi | Physical Therapist | 42 Laurel Way, Madison, NJ 07940-1002 | 2007-03-23 |
| 1497870232 | John A Olsen | Dentist | 9725 W Saint Martins Rd, Franklin, WI 53132-9624 | 2007-03-20 |
| 1255474144 | John Christian Olsen | Chiropractor | 4034 W. Van Giesen Street, Suite E, West Richland, WA 99353 | 2007-02-14 |
| 1295018760 | John David Olsen | Pharmacist | 340 Boulevard Ne, Ste 143, Atlanta, GA 30312-1273 | 2011-09-21 |
| 1982836631 | John Kurt Olsen | Chiropractor | 7840 S 700 E, Sandy, UT 84070-0278 | 2009-08-13 |
| 1033389085 | John Leo Olsen | Psychiatry & Neurology | 3425 Superior Ave, Sheboygan, WI 53081-1863 | 2008-03-06 |
| 1053451427 | John Paul Olsen | Chiropractor | 953 Main St, Suite 109, Nashville, TN 37206-3623 | 2007-02-07 |
| 1215017132 | John V. Olsen | Internal Medicine | 550 17th Ave Ste 680, Seattle, WA 98122-5795 | 2006-10-16 |
| Street Address |
1200 6TH AVE N |
| City | SAINT CLOUD |
| State | MN |
| Zip Code | 56303-2735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902805518 | Paul Charles Peterson | Emergency Medicine | 1200 6th Ave N, Saint Cloud, MN 56303-2735 | 2005-07-15 |
| 1871127290 | Kayla Girgen | Dietitian, Registered | 1200 6th Ave N, Saint Cloud, MN 56303-2735 | 2020-02-25 |
| 1023640034 | Faith Kelly Dammann | Physician Assistant | 1200 6th Ave N, Saint Cloud, MN 56303-2736 | 2020-02-07 |
| 1538707377 | Alissa Wigen | Physician Assistant | 1200 6th Ave N, Saint Cloud, MN 56303-2735 | 2019-12-11 |
| 1639713290 | Jordan Lajoie | Nurse Practitioner | 1200 6th Ave N, Saint Cloud, MN 56303-2735 | 2019-11-06 |
| 1528602430 | Hannah Elise Osterndorf | Dietitian, Registered | 1200 6th Ave N, Saint Cloud, MN 56303-2735 | 2019-11-04 |
| 1558919100 | Mergitu Megersa Gemeda | Physician Assistant | 1200 6th Ave N, Saint Cloud, MN 56303-2736 | 2019-08-27 |
| 1659927879 | Jennifer Marie Bretscher | Physician Assistant | 1200 6th Ave N, Saint Cloud, MN 56303-2735 | 2019-08-13 |
| 1366094302 | Laura Verley | Registered Nurse | 1200 6th Ave N, Saint Cloud, MN 56303-2736 | 2019-07-10 |
| 1063074235 | Briana Gray | Pharmacist | 1200 6th Ave N, Internal Medicine, Saint Cloud, MN 56303-2735 | 2019-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800463 | Daniel P Lahr | Radiologic Technologist | St Cloud Va Health Care System, 4801 Veterans Drive, St Cloud, MN 56303 | 2020-08-07 |
| 1730798398 | County of Stearns | Case Management | 705 Courthouse Square, St Cloud, MN 56303 | 2020-07-29 |
| 1669007126 | Aflah Transportation LLC | Non-emergency Medical Transport (VAN) | 3316 3rd Street North, Suite 129, Saint Cloud, MN 56303 | 2020-03-05 |
| 1609420942 | Stephanie Lynne Metzger | Nurse Practitioner | Centracare Clinic Riverc Ampus/nephrology, 1200 Sixth Ave North, St. Cloud, MN 56303 | 2019-07-25 |
| 1306406947 | Willow Tree Acupuncture LLC | Acupuncturist | 203 Cooper Ave N Suite 160, St. Cloud, MN 56303 | 2019-06-17 |
| 1821553520 | Alan Melvin Hoeper | Nurse Anesthetist, Certified Registered | Centracare Clinic Anesthesiology, 3701 12th St N, Suite 202, St. Cloud, MN 56303 | 2019-02-06 |
| 1437644465 | Brianna Larissa Justin | Speech-Language Pathologist | St. Cloud Hospital, 1406 6th Avenue N, St. Cloud, MN 56303 | 2018-06-22 |
| 1780186486 | Simplicity Health Pa | Family Medicine | 1511 Northway Dr Ste 103, Saint Cloud, MN 56303 | 2018-03-08 |
| 1639682925 | Dereje Beyene | Respiratory Therapist, Certified | 1406 15th Street North, Saint Cloud, MN 56303 | 2017-11-09 |
| 1740792761 | Lisa Ann Horner | Nurse Practitioner | 1555 Northway Drive #110, Centracare Complex Care Clinic, St Cloud, MN 56303 | 2017-10-31 |
| Find all providers in zip 56303 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811124837 | Justin Paul Stocks | Internal Medicine | 1406 6th Ave N, Saint Cloud, MN 56303-1900 | 2009-06-17 |
| 1790761021 | Terence R Pladson | Internal Medicine | 1406 6th Ave N, Saint Cloud, MN 56303-1900 | 2005-12-19 |
| 1376528166 | Sandeep S Jain | Internal Medicine | 1200 6th Ave N, Saint Cloud, MN 56303-2735 | 2005-12-14 |
| 1205826971 | Scott Paul Davis | Internal Medicine | 1200 6th Ave N, Saint Cloud, MN 56303-2735 | 2005-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205196854 | Katherine Tran Janssen | Internal Medicine | Mmc 276, 420 Delaware Street Se, Minneapolis, MN 55455 | 2012-05-16 |
| 1619108693 | Sakina B Naqvi | Internal Medicine | 3100 Kennard St Ste 220, Maplewood, MN 55109-5465 | 2009-08-07 |
| 1235360140 | Inga C Forde | Internal Medicine | 640 Jackson St # Ms 11502b, Saint Paul, MN 55101-2502 | 2009-07-28 |
| 1083804256 | Trina J Hollatz | Internal Medicine | 920 E 1st St Ste 201, Duluth, MN 55805-2215 | 2007-07-25 |
| 1356542211 | Joshua Cohen | Internal Medicine | 225 Smith Ave N Ste 501, Saint Paul, MN 55102-2545 | 2007-05-29 |
| 1578674818 | Richard Douglas Thorsen | Internal Medicine | 11215 Dakotah St Nw, Coon Rapids, MN 55433-2563 | 2006-08-31 |
| 1699729574 | Anuja Sharma | Internal Medicine | 1404 Kingswood Ponds Rd, Eagan, MN 55122-2877 | 2006-05-22 |
| 1609829357 | Brian D. Amdahl | Internal Medicine | 1600 Saint Johns Blvd, Suite 201, Maplewood, MN 55109-1183 | 2006-05-17 |
| 1609845742 | Jeffery R Dichter | Internal Medicine | 849 Govern Circle, Saint Paul, MN 55123 | 2006-03-14 |
| 1356994404 | Brienne L Sauvageau | Internal Medicine | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2019-07-18 |
| Find all providers with the same taxonomy | ||||
| City | SAINT CLOUD |
| Zip Code | 56303 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.