DR. ELLEN MARIE OLSON (NPI# 1073538260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073538260 |
| Entity Type | Individual |
| Full Name | DR. ELLEN MARIE OLSON |
| Credential | MD |
| Practice Address |
130 W. Kingsbridge Road Bronx NY 10468 |
| Mailing Address |
84 Warwick Road Bronxville NY 10708 |
| Practice Telephone | 7187414237 |
| Practice Fax Number | 7187414237 |
| Mailing Telephone | 9147724552 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
138733 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275800427 | Ellen Marie Olson | Local Education Agency (LEA) | 45 North Main St., Berlin, NY 12022-0284 | 2011-11-16 |
| 1528341781 | Ellen Mareen Olson | Nutritionist | 2295 Stevens Ave, Fairbanks, AK 99709-6284 | 2011-09-23 |
| 1174954440 | Ellen Olson | Nurse Practitioner | 600 Julian Ln Ste 640, Arden, NC 28704-7812 | 2013-12-11 |
| 1811234115 | Ellen Olson | Nurse Practitioner | 123 E Indiana Ave, Spokane, WA 99207-2313 | 2013-01-08 |
| 1013953124 | Ellen A Olson | Nurse Practitioner | 1405 Clifton Rd Ne, 3rd Fl, Atlanta, GA 30322 | 2006-06-20 |
| 1457399248 | Ellen T. Olson | Anesthesiology | 1850 N Central Ave, 1600, Phoenix, AZ 85004-4527 | 2006-06-03 |
| Street Address |
130 W. KINGSBRIDGE ROAD |
| City | BRONX |
| State | NY |
| Zip Code | 10468 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508833815 | Robert Errol Siegel | Internal Medicine | 130 W. Kingsbridge Road, James J. Peters Va Medical Cent, Bronx, NY 10468-3904 | 2006-03-06 |
| 1821614256 | Jelena Stojsavljevic | Student in an Organized Health Care Education/Training Program | 130 W. Kingsbridge Road, 111, Bronx, NY 10468 | 2020-06-22 |
| 1518329812 | Faisal Mehmood | Student in an Organized Health Care Education/Training Program | 130 W. Kingsbridge Road, Bronx, NY 10468 | 2016-03-25 |
| 1528157450 | Christine Hanna Elisabeth Bergmann | Psychiatry & Neurology | 130 W. Kingsbridge Road, 3b08, Bronx, NY 10468-3904 | 2006-10-11 |
| 1528159431 | Kevin Michael Rogers | Radiology | 130 W. Kingsbridge Road, Bronx, NY 10468-3904 | 2006-09-27 |
| 1942313358 | Mark Allen Korsten | Internal Medicine | 130 W. Kingsbridge Road, James J. Peters Va Medical Center, Bronx, NY 10468 | 2006-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922623776 | Michalis Georgiou | Student in an Organized Health Care Education/Training Program | 130 W. Kongsbridge Road James J. Petters Vamc, Room: 7a-11, Bronx, NY 10468 | 2020-06-08 |
| 1184248072 | Sindhuja Dogga | Student in an Organized Health Care Education/Training Program | James J Peters Vamc, 130 W Kingsbridge Road, Bronx, NY 10468 | 2020-06-05 |
| 1154945434 | Ambreen Shahzadi | Student in an Organized Health Care Education/Training Program | James J. Peters Vamc, 130 W. Kingsbridge Road (111) Room No. 7a-11, Bronx, NY 10468 | 2020-06-03 |
| 1912521550 | Zara Idrees | Student in an Organized Health Care Education/Training Program | 130 W Kingsbridge Road Room No: 7a-11, Internal Medicin, Bronx, NY 10468 | 2020-05-29 |
| 1710531256 | Ana Samely Maria | Registered Nurse | 2525 Aqueduct Ave B3, Bronx, NY 10468 | 2019-08-01 |
| 1114496007 | Rachel A Squillante | Speech-Language Pathologist | 2280 Aqueduct Avenue, Bronx, NY 10468 | 2018-11-20 |
| 1528547312 | Norwood Professional Medical Services of New York LLC | Surgery | 3487-89 Jerome Ave, Ste A, Bronx, NY 10468 | 2018-08-13 |
| 1336628130 | Norwood Medical of New York LLC | Surgery | 3487-89 Jerome Ave, Ste B, Bronx, NY 10468 | 2018-08-13 |
| 1811473721 | Okyeniba Medical PC | Pediatrics | 58 East Kingsbridge Road, Bronx, NY 10468 | 2018-07-13 |
| 1417446840 | Amina Khalid | Student in an Organized Health Care Education/Training Program | 130 W Kingsbridge Rd., Bronx, NY 10468 | 2018-05-01 |
| Find all providers in zip 10468 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| 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 |
|---|---|---|---|---|
| 1245462621 | Sharad Kothari | Internal Medicine | 3979 Laconia Ave, Bronx, NY 10466-4916 | 2009-08-18 |
| 1124288170 | Alina Gory | Internal Medicine | 664 Thwaites Pl Apt 2a, Bronx, NY 10467-7925 | 2008-06-12 |
| 1962684373 | Alejandra Villalobos | Internal Medicine | 1 Fordham Plz Ste 1000, Bronx, NY 10458-5871 | 2007-11-28 |
| 1497955041 | Bernard Stern | Internal Medicine | 3128 Palisade Ave, Bronx, NY 10463-1014 | 2007-07-23 |
| 1518019124 | Carole Michelsen | Internal Medicine | 66 Van Cortlandt Park South, St. Patricks Home, Bronx, NY 10463 | 2007-01-17 |
| 1356429740 | Riverdale Internal Medicine & Geriatric Services, PC | Internal Medicine | 5601 Riverdale Ave, Suite 1d, Bronx, NY 10471-2119 | 2006-11-01 |
| 1598851628 | Anna Skokowska-lebelt | Internal Medicine | 4141 Carpenter Ave, Renal Unit, Bronx, NY 10466-2600 | 2006-10-05 |
| 1932206752 | Hannah I Lipman | Internal Medicine | Mmc - Dept of Internal Med, 111 East 210th Street, Bronx, NY 10467 | 2006-09-20 |
| 1306888086 | Jomarie Zeleznik | Internal Medicine | 3224 Grand Concourse, #ba, Bronx, NY 10458-1008 | 2006-06-10 |
| 1083667935 | Srinivasa Reddy Adapa | Internal Medicine | 3950 White Plains Rd, Bronx, NY 10466-3026 | 2006-05-19 |
| Find all providers in BRONX | ||||
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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.