JOHN ACKERMAN OLSON JR. (NPI# 1649370750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649370750 |
Entity Type | Individual |
Full Name | JOHN ACKERMAN OLSON JR. |
Credential | MD PHD |
Practice Address |
22 S Greene St Baltimore MD 21201-1544 |
Mailing Address |
401 W Redwood St Suite 100 Baltimore MD 21201-1732 |
Practice Telephone | 4103286187 |
Mailing Telephone | 4103286187 |
Enumeration Date | 2006-09-25 |
Last Update Date | 2012-11-20 |
NPI Deactivation Date | 07/17/2007 |
NPI Reactivation Date | 2007-10-24 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086X0206X |
Surgery Specialization: Surgical Oncology |
D0073562 | MD | Allopathic & Osteopathic Physicians |
N | 2086X0206X |
Surgery Specialization: Surgical Oncology |
200000921 | NC | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MD | 052852800 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245709161 | John Nicholas Olson | Social Worker | 6800 Franklin Ne, Rio Rancho, NM 87144-7647 | 2018-11-20 |
1326340225 | John Denton Olson | Physician Assistant | 31675 Calle Barcaldo, Temecula, CA 92592-3611 | 2010-11-28 |
1952525669 | John Charles Olson | Dentist | 16152 Beach Blvd Ste 160-e, Huntington Beach, CA 92647-3806 | 2007-04-12 |
1700957495 | John W Olson | Chiropractor | 2263 Acushnet Ave, New Bedford, MA 02745-2827 | 2006-11-13 |
1013024041 | John Charles Olson | Psychiatry & Neurology | 910 18th Ave East, Seattle, WA 98112-3930 | 2006-08-24 |
1033223805 | John Bradley Olson | Dentist | 217 S Third St, Dekalb, IL 60115-3778 | 2006-08-18 |
1174551709 | John C. Olson | Ophthalmology | 3824 Oakwater Cir, Orlando, FL 32806-6263 | 2006-06-30 |
1164991501 | John Andrew Olson | Physical Therapist | 1601 Butterfield Trl, Kankakee, IL 60901-2959 | 2018-11-15 |
1922517127 | John Mason Olson | Anesthesiologist Assistant | 8900 N Kendall Dr, Miami, FL 33176-2118 | 2017-09-20 |
1902248099 | John Charles Olson | Optometrist | 1400 10th Ave W, Mobridge, SD 57601-1246 | 2013-07-18 |
Street Address |
22 S GREENE ST |
City | BALTIMORE |
State | MD |
Zip Code | 21201-1544 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750383063 | Malinda Daniel Duke | Nurse Practitioner | 22 S Greene St, Rm N6w84, Baltimore, MD 21201-1544 | 2005-06-01 |
1891396784 | Tamara Wiseman | Nurse Practitioner | 22 S Greene St, Baltimore, MD 21201-1544 | 2020-11-05 |
1063012664 | Shawna Marie Hutton | Registered Nurse | 22 S Greene St, Baltimore, MD 21201-1590 | 2020-11-01 |
1124625413 | Kerry Ann Lambert | Pharmacist | 22 S Greene St, Baltimore, MD 21201-1590 | 2020-10-08 |
1730786104 | Joseph William Russo | Pediatrics | 22 S Greene St, Baltimore, MD 21201-1590 | 2020-10-07 |
1295342327 | Leah Marie Dubose | Nurse Practitioner | 22 S Greene St, Baltimore, MD 21201-1544 | 2020-09-23 |
1275147167 | Rosalynn Joy Allen | Registered Nurse | 22 S Greene St, Baltimore, MD 21201-1590 | 2020-09-08 |
1174137269 | Keiara Williams | Nurse Practitioner | 22 S Greene St, Baltimore, MD 21201-1544 | 2020-09-04 |
1699389858 | Caitlin Lauren Thomas | Nurse Practitioner | 22 S Greene St, Baltimore, MD 21201-1544 | 2020-09-04 |
1639782568 | Anna Pfouts | Nurse Practitioner | 22 S Greene St, Baltimore, MD 21201-1544 | 2020-08-29 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518585470 | Meshref Ayed Alshehri | Student in an Organized Health Care Education/Training Program | 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 | 2020-07-08 |
1306462411 | Michael Julian Wong | Student in an Organized Health Care Education/Training Program | University of Maryland, Department of Anesthesiology, 22 S Green St, S11b, Baltimore, MD 21201 | 2020-06-24 |
1740817733 | Martha Kaitlyn Coghlan | Student in an Organized Health Care Education/Training Program | Ummc Ob/gyn, 22 S. Greene St., Baltimore, MD 21201 | 2020-03-27 |
1629606637 | Taylor Renee Kai | Student in an Organized Health Care Education/Training Program | University of Maryland, 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 | 2020-03-27 |
1295362697 | Brittany A Oster | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street 6th Floor, Suite 300, Baltimore, MD 21201 | 2020-03-25 |
1346877735 | Kayvon Michael Mobarakeh | Student in an Organized Health Care Education/Training Program | University of Maryland Department of Anesthesiology, 22 S Greene St, S11c, Baltimore, MD 21201 | 2020-03-25 |
1598392284 | Zachary Allan Hagen | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street, 6th Flr., Suite 200, Baltimore, MD 21201 | 2020-03-24 |
1700430055 | Jaime Semchuk | Student in an Organized Health Care Education/Training Program | 737 West Lombard, Baltimore, MD 21201 | 2019-07-25 |
1952861619 | Zachary Daniel Sanford | Student in an Organized Health Care Education/Training Program | 22 S Greene Street S8b12, Baltimore, MD 21201 | 2019-03-20 |
1114487840 | Spencer Sykes Lovegrove | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street, Sixth Floor, Suite 200, Baltimore, Sixth Floor, Suite 200, Baltimore, MD 21201 | 2019-03-20 |
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Taxonomy Code | 2086X0206X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Surgical Oncology |
A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. |
Notes: Source: Society of Surgical Oncology, 2007 [1/1/2008: definition added, source added, 7/1/2009: definiition reformatted] Additional Resources: http://www.surgonc.org/ ; American Board of Medical Specialties, 2007, www.abms.org ; American Board of Surgery, 2007, http://www.absurgery.org/ Surgical oncology is a recognized fellowship subspecialty program of surgery. Separate board certification is not currently offered. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750389870 | Mukund S. Didolkar | Surgery | 2435 W Belvedere Ave, Suite 46, Baltimore, MD 21215-5224 | 2005-07-12 |
1205199874 | Richard Birkett | Surgery | 22 S Greene St, Baltimore, MD 21201-1544 | 2012-06-19 |
1073880183 | Sinai Hospital of Baltimore, Inc | Surgery | 2401 W Belvedere Ave, Lapidus Cancer Institute, Baltimore, MD 21215-5216 | 2011-11-18 |
1346539566 | Yinin Hu | Surgery | 419 W Redwood St Ste 300, Baltimore, MD 21201-7003 | 2011-03-29 |
1629386016 | Eman Samih Sbaity | Surgery | 600 N Wolfe St, Carnegie 686, Baltimore, MD 21287-0005 | 2010-09-20 |
1194985614 | Jonathan B Greer | Surgery | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2008-06-10 |
1912179821 | Richard Burkhart | Surgery | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2008-03-31 |
1700080439 | Arun A Mavanur | Surgery | 2401 W Belvedere Ave, 1st Floor Main, Baltimore, MD 21215-5216 | 2007-06-14 |
1437173036 | Surgical Oncology Associates Md-pa | Surgery | 2401 W Belvedere Ave, First Floor, Main, Baltimore, MD 21215-5216 | 2006-07-27 |
1063451714 | Lisa Jacobs | Surgery | 4940 Eastern Ave, Baltimore, MD 21224-2735 | 2006-06-06 |
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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.