MARY L. OLSEN, M.D., P.A. (NPI# 1417053059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417053059 |
Entity Type | Organization |
Organization Name | MARY L. OLSEN, M.D., P.A. |
Practice Address |
3070 College St Suite 205 Beaumont TX 77701-4691 |
Practice Telephone | 4098329600 |
Practice Fax Number | 4098329610 |
Mailing Telephone | 4098329600 |
Mailing Fax Number | 4098329610 |
Enumeration Date | 2006-09-14 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. MARY L. OLSEN (PRESIDENT) |
Authorized Official Telephone | 4098329600 |
Authorized Official Credential | M.D> |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
Allopathic & Osteopathic Physicians |
Street Address |
3070 COLLEGE ST SUITE 205 |
City | BEAUMONT |
State | TX |
Zip Code | 77701-4691 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043219033 | Susan K Craig | Family Medicine | 3070 College St, Suite 120, Beaumont, TX 77701-4691 | 2005-07-20 |
1649663857 | David R Jones M.d.,p.a. | Physical Medicine & Rehabilitation | 3070 College St, Suite 406, Beaumont, TX 77701-4691 | 2015-03-12 |
1851716385 | Ramzi S. Dakour Md and Ramona S. Ataya-dakour Md, Pllc | Family Medicine | 3070 College St, Suite 205, Beaumont, TX 77701-4688 | 2014-02-20 |
1356783427 | Jehanara Ahmed, M.d, P.a. | Clinic/Center | 3070 College St, Suite #201, Beaumont, TX 77701-4691 | 2013-07-18 |
1043656952 | Jennifer Nichole Weber | Family Medicine | 3070 College St, Suite 120, Beaumont, TX 77701-4691 | 2013-05-17 |
1689914434 | Cynthia E. Larson, D.o., P.a. | Obstetrics & Gynecology | 3070 College St, 207, Beaumont, TX 77701-4691 | 2013-02-14 |
1386982528 | Nader Consultants LLC | Neurological Surgery | 3070 College St, Suite 100, Beaumont, TX 77701-4691 | 2013-01-23 |
1588934996 | Texas Center for Neurosciences Pllc | Neurological Surgery | 3070 College St, Suite 100, Beaumont, TX 77701-4691 | 2012-01-03 |
1366727679 | Phuc Nhat Le Md Pa | Family Medicine | 3070 College St, Suite 201, Beaumont, TX 77701-4691 | 2011-10-18 |
1558689182 | Justin Lewis | Internal Medicine | 3070 College St, Ste 401, Beaumont, TX 77701-4691 | 2010-05-06 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891296604 | Jessica Paige Seago | Licensed Vocational Nurse | 3330 Fannin, Beaumont, TX 77701 | 2018-02-27 |
1154833135 | Shannon Denard | Naturopath | 1595 S. M.l. King Jr. Parkway, Beaumont, TX 77701 | 2017-10-30 |
1558818096 | Kelli North | Nurse Practitioner | 810 Hospital Dr Ste. 235, Beaumont, TX 77701 | 2016-09-01 |
1821446055 | La Costa of Beaumont Pa | Dentist | 3870 College Street, Suite #200, Beaumont, TX 77701 | 2016-05-27 |
1811361462 | Azuka Ginigeme | Pharmacist | 3605 College Street, Walgreens Pharmacy, Beaumont, TX 77701 | 2015-11-19 |
1093184921 | Coastal Spine & Pain Institute, Pllc | Specialist | 3070 College Street, Suite 300, Beaumont, TX 77701 | 2015-09-22 |
1831584663 | H-e-b, Lp | Clinical Medical Laboratory | 3590 College Street, Beaumont, TX 77701 | 2015-03-30 |
1205272648 | Yalanda S Jessie | Counselor | 755 S 11th St Ste 246, Beaumont, TX 77701 | 2013-05-13 |
1871856443 | Henry Clay Williams | Day Training, Developmentally Disabled Services | 2316 Orange St., Beaumont, TX 77701 | 2012-06-19 |
1053670398 | Park Infusioncare, Lp | Durable Medical Equipment & Medical Supplies | 3695 Stagg Dr, Beaumont, TX 77701 | 2012-05-07 |
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Taxonomy Code | 207RR0500X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Rheumatology |
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
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 |
---|---|---|---|---|
1427342674 | Sadiq Ali | Internal Medicine | 3440 Fannin St Ste B, Beaumont, TX 77701 | 2011-06-06 |
1467683581 | Reeti K. Joshi | Internal Medicine | 3560 Delaware St Ste 301, Beaumont, TX 77706-3060 | 2009-08-06 |
1083814057 | Sergio A Leon | Internal Medicine | 3030 North St Ste 450, Beaumont, TX 77702-1434 | 2007-07-19 |
1952425779 | Reuben A Isern M.d.p.a. | Internal Medicine | 3350 Dowlen Rd Ste E, Beaumont, TX 77706-7263 | 2007-03-19 |
1871153494 | Sadiq Ali, M.d., Pllc | Internal Medicine | 3440 Fannin St Ste B, Beaumont, TX 77701-3842 | 2019-06-17 |
1508392317 | Reeti K Joshi, Md Pa | Internal Medicine | 3560 Delaware St, 301, Beaumont, TX 77706-3067 | 2017-05-11 |
1467709485 | Mei An Tonette O Ty Arias | Internal Medicine | 3030 North St, Ste 450, Beaumont, TX 77702-1433 | 2012-08-08 |
1447459979 | Isern Rheumatology Clinic, Pa | Internal Medicine | 3350 Dowlen Rd Ste E, Beaumont, TX 77706-7263 | 2007-07-14 |
1245306067 | Mary L Olsen Md Pa | Internal Medicine | 3070 College Street, Suite 205, Beaumont, TX 77701 | 2006-11-24 |
1083723753 | Mary L Olsen | Internal Medicine | 3030 North St, Suite 450, Beaumont, TX 77702-1433 | 2006-08-29 |
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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.