DR. SUSAN JAYNE OLSON (NPI# 1205996303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205996303 |
| Entity Type | Individual |
| Full Name | DR. SUSAN JAYNE OLSON |
| Credential | MD |
| Practice Address |
1297 Professional Dr Ste 104 Myrtle Beach SC 29577-5713 |
| Mailing Address |
333 Welcome Dr Myrtle Beach SC 29579-5374 |
| Practice Telephone | 8437121854 |
| Practice Fax Number | 8432131681 |
| Mailing Telephone | (843) 712-1854 |
| Mailing Fax Number | 8432131681 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2019-11-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
29752 | SC | Allopathic & Osteopathic Physicians |
| N | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
26014 | WI | Allopathic & Osteopathic Physicians |
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
29752 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 30823300 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1113 44th Ave N, Suite 100, Myrtle Beach, SC 295775783 | 8437121854 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861818973 | Susan Olson | Counselor | 148 Sw 89th St, Apt 145, Oklahoma City, OK 73139-8523 | 2014-03-13 |
| 1609974724 | Susan M. Olson | Dentist | 1121 Town Centre Dr Ste 200, Eagan, MN 55123-1217 | 2006-09-20 |
| 1295738789 | Susan Kay Olson | Physician Assistant | 455 Kansas Ave Se, Huron, SD 57350-2522 | 2005-05-27 |
| 1457817025 | Susan Olson | Counselor | 325 W Gowe St, Kent, WA 98032-5892 | 2019-02-19 |
| 1700334042 | Susan Olson | Counselor | 130 E Walnut St, Suite 706, Green Bay, WI 54301-4239 | 2016-09-15 |
| 1730587007 | Susan Olson | Dentist | 3896 N Martin L King Blvd, N Las Vegas, NV 89032-6603 | 2014-12-18 |
| 1154759462 | Susan Jeanne Olson | Counselor | 1625 Diamond Hill Rd, Woonsocket, RI 02895-1771 | 2013-10-23 |
| 1558492967 | Susan Lynne Olson | Marriage & Family Therapist | 7840 Washington Ave, Kansas City, KS 66112-2152 | 2007-03-08 |
| 1548397151 | Susan E. Olson | Marriage & Family Therapist | 227 Wilmot Dr, Gastonia, NC 28054-4048 | 2007-02-28 |
| 1528146495 | Susan Ann Olson | Registered Nurse | 3333 N Whitman St, Tacoma, WA 98407-1547 | 2006-11-01 |
| Street Address |
1297 PROFESSIONAL DR STE 104 |
| City | MYRTLE BEACH |
| State | SC |
| Zip Code | 29577-5713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528468923 | Steps for Change Behavioral Healthcare | Counselor | 1297 Professional Dr, Myrtle Beach, SC 29577-5713 | 2014-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124536446 | Well Care Home Health of The Lowcountry | Home Health | 1039 44th Ave N Ste 101, Myrtle Beach, SC 29577 | 2018-01-22 |
| 1518470913 | Guillot Enterprises, LLC | Hearing Instrument Specialist | 1294 Professional Dr., Suite C, Myrtle, SC 29577 | 2017-11-08 |
| 1598288227 | Ryan Shepherd | Pharmacist | 1705 South Kings Highway, Myrtle Beach, SC 29577 | 2017-07-25 |
| 1184176554 | Shannon Long | Counselor | 1293 Professional Drive, Suite D Office 222, Myrtle Beach, SC 29577 | 2016-11-01 |
| 1265898191 | Coastal Carolina Infectious Disease, LLC | Internal Medicine | 1110 London St Ste 102, Myrtle Beach, SC 29577 | 2016-01-07 |
| 1548639933 | Susan Lang | Social Worker | 1273 Professional Dr., Suite A #104, Myrtle Beach, SC 29577 | 2015-09-16 |
| 1043600893 | Kenneth Edward Smith | Counselor | 1125 48th Avenue North, Myrtle Beach, SC 29577 | 2015-02-02 |
| 1902203615 | Sc Nursing Services LLC | Home Infusion | 1297 Professional Drive, Suite 201 C3, Myrtle Beach, SC 29577 | 2014-11-24 |
| 1881007946 | Intercoastal Endo, PC | Dentist | 4382 Oleander Dr, Myrtle Beach, SC 29577 | 2014-06-06 |
| 1891115739 | Julie Hite | Pharmacist | 540 Seaboard Street, Myrtle Beach, SC 29577 | 2014-04-18 |
| Find all providers in zip 29577 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669701827 | Susan J Olson Md - Psychiatric Services LLC | Psychiatry & Neurology | 333 Welcome Dr, Myrtle Beach, SC 29579-5374 | 2009-12-17 |
| 1942347349 | Elizabeth Newlin | Psychiatry & Neurology | 5001 N Kings Hwy Ste 205a, Myrtle Beach, SC 29577-2556 | 2007-02-01 |
| 1720139645 | Adedapo M Oduwole | Psychiatry & Neurology | 1203 48th Ave N, 202, Myrtle Beach, SC 29577-5425 | 2007-01-16 |
| 1962428235 | Rupa Ravindra Shetty | Psychiatry & Neurology | 237 Avenue of The Palms, Myrtle Beach, SC 29579-1247 | 2006-07-13 |
| 1902843121 | Claudia T Miles | Psychiatry & Neurology | 241 Center Dr, Myrtle Beach, SC 29572-5612 | 2006-05-31 |
| 1013991199 | Margaret S Bhatt | Psychiatry & Neurology | 1203 48th Ave N Ste 202, Myrtle Beach, SC 29577-5425 | 2005-12-02 |
| 1144458183 | Mofdaps and Company | Psychiatry & Neurology | 1203 48th Ave N, 202, Myrtle Beach, SC 29577-5425 | 2009-06-29 |
| 1619167533 | Thrasher Psychotherapeutics Pa | Psychiatry & Neurology | 1113 48th Ave N, Suite 117, Myrtle Beach, SC 29577-5441 | 2007-07-26 |
| 1417070640 | M Alexander Staton Md Pa | Psychiatry & Neurology | 1601 N Oak St, Suite 206 Myrtle Offices, Myrtle Beach, SC 29577-3579 | 2007-04-10 |
| 1972614774 | Randy Lee Warren | Psychiatry & Neurology | 1101 Johnson Ave, Suite 204, Myrtle Beach, SC 29577-1893 | 2006-08-31 |
| Find all providers in MYRTLE BEACH | ||||
| City | MYRTLE BEACH |
| Zip Code | 29577 |
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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.