KENNETH R OLSON (NPI# 1598746679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598746679 |
| Entity Type | Individual |
| Full Name | KENNETH R OLSON |
| Credential | MD |
| Practice Address |
105 E Main St Waukon IA 52172-1735 |
| Practice Telephone | 5635683449 |
| Practice Fax Number | 5635684947 |
| Mailing Telephone | 5635683449 |
| Mailing Fax Number | 5635684947 |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2012-03-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 40911 | WI | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 19201 | IA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881903417 | Kenneth Olson | Counselor | 324 Gannett Dr Ste 300, South Portland, ME 04106-3269 | 2010-09-30 |
| 1073708061 | Kenneth Edgar Olson | Counselor | 4741 Lago Vista Cir, San Jose, CA 95129-1440 | 2007-09-12 |
| 1851459614 | Kenneth A Olson | Marriage & Family Therapist | 9033 Baseline Rd, Suite H, Rancho Cucamonga, CA 91730 | 2006-12-05 |
| 1679648018 | Kenneth Michael Olson | Dentist | 393 Dunlap St N Ste 310, Saint Paul, MN 55104-4207 | 2006-11-21 |
| 1407927510 | Kenneth Cornell Olson | Psychiatry & Neurology | 931 Highland Blvd, Ste 3340, Bozeman, MT 59715-6911 | 2006-11-11 |
| 1417044363 | Kenneth J Olson | Chiropractor | 2116 W Galena Blvd, Suite 112, Aurora, IL 60506-3533 | 2006-10-10 |
| 1477576601 | Kenneth Frederick Olson Jr. | Registered Nurse | 1010 4th St, Two Harbors, MN 55616-1200 | 2006-07-26 |
| 1649232877 | Kenneth Michael Olson | Physician Assistant | 915 N Grand Blvd, 11f/jc St. Louis Va, Saint Louis, MO 63106-1621 | 2006-04-04 |
| 1336126275 | Kenneth Olson | Family Medicine | 7801 E Bush Lake Rd Ste 400, Minneapolis, MN 55439-3113 | 2005-12-30 |
| 1467438986 | Kenneth A Olson | Physical Therapist | 3266 Sycamore Rd, Dekalb, IL 60115-9621 | 2005-12-16 |
| Street Address |
105 E MAIN ST |
| City | WAUKON |
| State | IA |
| Zip Code | 52172-1735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649246091 | Michelle Mertens-dodgen | Nurse Practitioner | 105 E Main St, Waukon, IA 52172-1735 | 2006-02-27 |
| 1851373443 | Elizabeth K Leschensky | Nurse Practitioner | 105 E Main St, Waukon, IA 52172-1735 | 2005-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235468026 | Amy Christine Pfiffner | Occupational Therapy Assistant | 201 Second Street Sw, Waukon, IA 52172 | 2009-12-08 |
| 1609098185 | Worth Living Inc. | Assisted Living Facility | 209 2nd Ave Sw, Waukon, IA 52172 | 2007-05-03 |
| 1154478857 | Mosaic | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 12 E Main, Suite 102, Waukon, IA 52172 | 2007-01-04 |
| 1124121710 | Linda Sue Carstens | Dentist | 18 1st Ave Nw, Waukon, IA 52172 | 2006-09-07 |
| 1659481752 | Cameron Jon Ochsner | Dentist | 22 E Main, Wankon, IA 52172 | 2006-08-30 |
| 1831144302 | Gundersen Clinic, Ltd. | Durable Medical Equipment & Medical Supplies | 120 2nd Avenue Se, Waukon, IA 52172 | 2006-05-23 |
| 1720173990 | Northeast Iowa Dental Professional Corporation | Dentist | 18 1st Ave Nw, Waukon, IA 52172 | 2006-10-04 |
| 1265472807 | Gundersen Clinic, Ltd. | Optometrist | 120 2nd Avenue Se, Waukon, IA 52172 | 2006-06-08 |
| 1639156987 | Mayo Clinic Health System - Franciscan Medical Center, Inc. | Clinic/Center | 105 East Main Street, Waukon, IA 52172 | 2005-12-28 |
| 1528058062 | David B Schwartz | Hospitalist | 40 1st St Se, Waukon, IA 52172 | 2005-10-26 |
| Find all providers in zip 52172 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013177484 | Benjamin W. Ross | Family Medicine | 105 E. Main Street, Waukon, IA 52172-1735 | 2008-06-10 |
| 1902896046 | Andrea Lynn Venteicher | Family Medicine | 120 2nd Ave Se, Waukon, IA 52172-2073 | 2005-10-27 |
| 1053775015 | Kristin T Tang | Family Medicine | 120 2nd Ave Se, Waukon, IA 52172-2073 | 2016-04-06 |
| 1710100938 | Melissa M Simon | Family Medicine | 120 2nd Ave Se, Waukon, IA 52172-2073 | 2007-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639779283 | Melinda Heverly | Family Medicine | 6343 Sutton Dr, Urbandale, IA 50322-8053 | 2020-10-31 |
| 1215536636 | Darcie Marie Cook | Family Medicine | 8285 Turkey Valley Ln, Dubuque, IA 52003-9749 | 2020-10-19 |
| 1740896828 | Lisa Marie Swanson | Family Medicine | 1609 N Ankeny Blvd # 200, Ankeny, IA 50023-4159 | 2020-09-23 |
| 1003421959 | Elizabeth Ann Myhr | Family Medicine | 2680 Ne 102nd Ave, Ankeny, IA 50021-9224 | 2020-09-08 |
| 1407465917 | Qv Urgent Care Ia Pllc | Family Medicine | 801 North Grand Avenue, Mt. Pleasant, IA 52641 | 2020-07-30 |
| 1871101246 | Des Moines Regenerative Medicine Pllc | Family Medicine | 5901 Westown Pkwy Ste 220, West Des Moines, IA 50266-8297 | 2020-07-21 |
| 1346867439 | Kinza Ali | Family Medicine | 2055 Kimball Avenue, Suite 101, Waterloo, IA 50702 | 2020-07-06 |
| 1689291411 | Katie Weigel | Family Medicine | 635 W Washington St, Winthrop, IA 50682-9356 | 2020-06-27 |
| 1760005110 | Barbra Ellen Faux | Family Medicine | 1007 W 3rd Ave Apt 115, Indianola, IA 50125-3172 | 2020-05-20 |
| 1235764424 | Amber Dawn Hartman | Family Medicine | 20671 42nd St, Anamosa, IA 52205-7735 | 2020-03-08 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on KENNETH R OLSON.
| 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.