DR. MICHAEL SCOTT OLSEN (NPI# 1144423526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144423526 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL SCOTT OLSEN |
| Credential | M.D. |
| Practice Address |
Osf Saint Francis Medical Ctr 530 Ne Glen Oak Avenue Peoria IL 61637 |
| Mailing Address |
1015 N Flora Ave Peoria IL 61606-1405 |
| Practice Telephone | 3096552000 |
| Mailing Telephone | 8479123897 |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2019-05-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 01082233A | IN | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | C152817 | CA | Allopathic & Osteopathic Physicians |
| Y | 207P00000X | Emergency Medicine | 036122602 | IL | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 125-051300 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134780042 | Michael James Olsen | Peer Specialist | 344 E 100 S Ste 301300, Salt Lake City, UT 84111-1700 | 2019-06-23 |
| 1942748165 | Michael Scott Olsen | Student in an Organized Health Care Education/Training Program | 1286 S 1175 E, Clearfield, UT 84015-1777 | 2017-02-08 |
| 1740560275 | Michael Olsen | Pharmacist | 3415 Brookside Rd, Stockton, CA 95219-1785 | 2011-08-29 |
| 1215907886 | Michael Stewart Olsen | Social Worker | 361 E 1200 S, Suite 201, Orem, UT 84058-6904 | 2006-01-25 |
| 1558620096 | Michael S Olsen | Marriage & Family Therapist | 818 Commercial St, Ste 307, Astoria, OR 97103-4553 | 2012-05-03 |
| 1841400066 | Michael P. Olsen | Dentist | 1008 Main St, Onalaska, WI 54650-2741 | 2007-05-23 |
| 1184768913 | Michael Donovan Olsen | Marriage & Family Therapist | 535 S 2nd Ave, Covina, CA 91723-3013 | 2007-02-16 |
| 1356437891 | Michael Olsen | Family Medicine | 379 North 500 West, Suite 1a, Vernal, UT 84078 | 2006-10-04 |
| 1710990817 | Michael M Olsen | Family Medicine | 335 Highland Ave, Cheshire, CT 06410-2549 | 2006-08-13 |
| 1336180454 | Michael Stewart Olsen | Internal Medicine | 21601 76th Ave W, Edmonds, WA 98026-7507 | 2006-06-09 |
| Street Address |
OSF SAINT FRANCIS MEDICAL CTR 530 NE GLEN OAK AVENUE |
| City | PEORIA |
| State | IL |
| Zip Code | 61637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285767087 | David L Gorenz | Internal Medicine | Osf Saint Francis Medical Ctr, 530 N E Glen Oak, Peoria, IL 61637-0001 | 2007-03-13 |
| 1194064279 | Swetha Vennavaram | Internal Medicine | Osf Saint Francis Medical Ctr, 530 Ne Glen Oak Avenue, Peoria, IL 61637-0001 | 2013-02-08 |
| 1265787923 | Osf Saint Francis | General Acute Care Hospital | Osf Saint Francis Medical Ctr, 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2012-07-18 |
| 1942429055 | Jami Jo Riggenbach-hays | Nurse Practitioner | Osf Saint Francis Medical Ctr, 530 Ne Glen Oak Avenue, Peoria, IL 61637-0001 | 2007-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780200865 | Kuang Chuen Liu | Pediatrics | 530 Ne Glen Oak Ave, Peoria, Peoria, IL 61637 | 2020-06-24 |
| 1174184527 | Manisha Tharoor | Student in an Organized Health Care Education/Training Program | 530 N.e Glen Oak Ave, Peoria, IL 61637 | 2019-06-26 |
| 1609436724 | Sriviji Senthil Kumaran | Student in an Organized Health Care Education/Training Program | 530. N.e Glen Oak Ave., Peoria, IL 61637 | 2019-06-20 |
| 1780240929 | Abuzar Ali Asif | Student in an Organized Health Care Education/Training Program | 530 N. E. Glen Oak Ave., Peoria, IL 61637 | 2019-05-14 |
| 1518328665 | Jenna Bishop | Dietitian, Registered | 600 Ne Water Street, Peoria, IL 61637 | 2016-03-17 |
| 1194133850 | Ashish Kumar Roy | Internal Medicine | 530 N.e. Glen Oak Ave, Peoria, IL 61637 | 2014-07-25 |
| 1265720510 | Reuben Antony | Pediatrics | 530 Ne Glen Oak Ave., C/o Ms Suzy Lewellen, Peoria, IL 61637 | 2011-07-20 |
| 1366673436 | Joseph William Hauter | Emergency Medicine | 830 Ne Glen Oak Ave, Peoria, IL 61637 | 2009-08-06 |
| 1437380748 | Jeremy R Monroe | Emergency Medicine | 530 Glen Oak, Osf St Francis Medical Center, Peoria, IL 61637 | 2009-08-04 |
| 1326244682 | Maria S. Parr | Psychiatry & Neurology | Osf Saint Francis Medical Center, 530 N.e.glen Oak Ave., Peoria, FL 61637 | 2007-06-25 |
| Find all providers in zip 61637 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205367802 | Medexpress Urgent Care Illinois, P.C. | Emergency Medicine | 5038 N Big Hollow Road, Peoria, IL 61615-3510 | 2017-03-24 |
| 1285049296 | Julia Hutchison | Emergency Medicine | 530 Ne Glen Oak Ave # Sfnb2624, Peoria, IL 61637-0001 | 2014-06-27 |
| 1891134151 | Kyle Fletcher Brown | Emergency Medicine | Osf Saint Francis Medical Center 530 Ne Glen Oak Ave, North Building 2620, Peoria, IL 61637-0001 | 2013-06-20 |
| 1366673436 | Joseph William Hauter | Emergency Medicine | 830 Ne Glen Oak Ave, Peoria, IL 61637 | 2009-08-06 |
| 1437380748 | Jeremy R Monroe | Emergency Medicine | 530 Glen Oak, Osf St Francis Medical Center, Peoria, IL 61637 | 2009-08-04 |
| 1568624708 | Brandon C Begley | Emergency Medicine | 540 Ne Glen Oak Ave, Peoria, IL 61603 | 2008-06-30 |
| 1114119880 | Suhail Khan | Emergency Medicine | Osf Stfrancis Medical Center Dept of Emergency Medicine, 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2007-08-15 |
| 1962601351 | Tony Yun Hsu | Emergency Medicine | 3517 W Willow Knolls Dr, 1-f, Peoria, IL 61614-1090 | 2007-07-16 |
| 1053518092 | Michael M Raso | Emergency Medicine | 1115 N Bourland Ave, Peoria, IL 61606-1210 | 2007-07-02 |
| 1184670663 | Methodist Medical Center of Illinois | Emergency Medicine | 120 Ne Glen Oak Ave, Suite 101, Peoria, IL 61603 | 2006-05-26 |
| Find all providers in PEORIA | ||||
Please comment or provide details below to improve the information on DR. MICHAEL SCOTT OLSEN.
| 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.