MRS. JOSEPHINE KIMBERLY OLSEN


Address: 359 Mdos/mdg, Randolph Afb, TX 78150
Phone: 2106522117

MRS. JOSEPHINE KIMBERLY OLSEN (NPI# 1144652975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144652975
Entity Type Individual
Full Name MRS. JOSEPHINE KIMBERLY OLSEN
Other Name JOSIE WELLS
Credential D.O.
Practice Address 359 Mdos/mdg
Randolph Afb
TX 78150
Mailing Address 1915 Mistral Ln W
Fort Walton Beach
FL 32547-7020
Practice Telephone 2106522117
Mailing Telephone 2066605094
Enumeration Date 2013-08-02
Last Update Date 2018-04-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine OS12480 FL Allopathic & Osteopathic Physicians

Office Location

Street Address 359 MDOS/MDG
City RANDOLPH AFB
State TX
Zip Code 78150

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770045833 Erica Renae Guevara Physician Assistant 559 Medial Sq, 221 Third Street West Bldg. 1040, Jbsa-randolph Afb, TX 78150 2019-04-05
1457803868 Emily Newman Dietitian, Registered 221 Third Street West, Bldg. 999 Ste 2, Joint Base San Antonio -randolph, TX 78150 2016-11-02
1922411677 Amber Drewer Military Health Care Provider 3rd Street West Building 1040, Randolph Afb, TX 78150 2014-06-10
1609149681 Lucky Lusterio Preventive Medicine 221 3rd St. W, Randolph Afb, TX 78150 2012-02-21
1417120569 Joni Hodgson General Practice 221 3rd Street West, Jbsa Randolph, TX 78150 2008-04-09
1710095724 Katherine Justen Adamson Physician Assistant 12th Medical Group, 221 3rd Street West, Randolph Air Force Base, TX 78150 2006-08-29
1811950090 Lidia Stana Ilcus Internal Medicine 359 Mdg, 221 Third Street West, Randolph Afb, TX 78150 2006-04-10
1013970672 David Hamilton Social Worker 12mdos/sgohf, Randolph Afb, TX 78150 2006-04-06
1962465526 Robert Allan Briggs Physical Therapist Randolph Afb Clinic, 221 3rd St W, Randolph Afb, TX 78150 2006-04-06
1982685566 John Yoonsik Oh Internal Medicine 221 Third St, Bldg 1040, Attn: 359 Mdg/sghq, Jbsa Randolph, TX 78150 2005-11-09
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104188192 Jessica-renee Gamboa Family Medicine 221 3rd St W, Randolph Afb, TX 78150-4800 2012-06-14
1508891094 Julie Alexandra Freilino Family Medicine 221 3rd St W, Randolph Afb, TX 78150-4800 2006-07-12
1124016605 Kevin J Kaps Family Medicine 221 3rd St W, Randolph Afb, TX 78150-4800 2005-10-10

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1669073599 Julie Suzanne Rodriguez Family Medicine 421 W Wadley Ave Ste B, Midland, TX 79705-5368 2020-11-06
1871194670 Priscilla Tehrani Family Medicine 615 North Loop E Unit 100, Houston, TX 77022-5934 2020-11-06
1821699976 Dr. G Medical Solutions Family Medicine 4840 W Panther Creek Dr Ste 211, The Woodlands, TX 77381-3542 2020-11-05
1124629522 Jose Reynaldo Carcamo Jr. Family Medicine 18568 Texas 46, Suite 1001, Spring Branch, TX 78070 2020-11-03
1205437662 Angela Ekern Family Medicine 7421 Cordoba Dr, Austin, TX 78724-6252 2020-11-03
1770184020 Kara Fenceroy Family Medicine 5425 Rolling Meadows Dr, Fort Worth, TX 76123-2836 2020-11-03
1881295327 Courtney L Buchmeier Family Medicine 16620 San Pedro Ave, San Antonio, TX 78232-2327 2020-11-02
1003416207 Adeline Galvez Family Medicine 1300 W Terrell Ave Ste 270, Fort Worth, TX 76104-2820 2020-10-27
1710585229 Megan Alyse Loyd Family Medicine 2101 Kingsley Dr Apt 3106, Pearland, TX 77584-4118 2020-10-16
1104424795 Rachel Elizabeth Whitten Family Medicine 614 S Business Ih 35 Ste A, New Braunfels, TX 78130-4748 2020-10-15
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Competitor

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City RANDOLPH AFB
Zip Code 78150

Improve Information

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Dataset Information

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.

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