DR. GARY OLSON (NPI# 1659454536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659454536 |
| Entity Type | Individual |
| Full Name | DR. GARY OLSON |
| Credential | D.C |
| Practice Address |
285 Commack Rd Suite 10 Commack NY 11725-3403 |
| Practice Telephone | 6314620917 |
| Practice Fax Number | 6314621038 |
| Mailing Telephone | 6314620917 |
| Mailing Fax Number | 6314621038 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | XO9393-1 | NY | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | GHI | 5897489 | 01 |
| NY | EMPIRE BLUE CROSS BLUE SH | X7S551 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790942704 | Gary Thomas Olson | Social Worker | 7625 Metro Blvd, Minneapolis, MN 55439-3053 | 2008-05-19 |
| 1750432324 | Gary Stanford Olson | Dentist | 403 Nw 4th St, Aledo, IL 61231 | 2007-01-12 |
| 1366524472 | Gary S. Olson | Pediatrics | 35 Doctors Park, Cape Girardeau, MO 63703-4927 | 2006-10-19 |
| 1922027416 | Gary Martin Olson | Psychologist | 550 Hamilton Ave, Suite 215, Palo Alto, CA 94301-2010 | 2006-07-18 |
| 1053300392 | Gary R. Olson | Dentist | 6907 S Wentworth Ave, Chicago, IL 60621-3734 | 2005-10-19 |
| 1558357863 | Gary B Olson | Dentist | 3930 8th St S, Suite 202, Wisconsin Rapids, WI 54494-6511 | 2005-09-22 |
| 1700050002 | Gary Allen Olson | Physical Therapist | 3200 E Racine St, Janesville, WI 53546-2343 | 2008-04-17 |
| 1184747867 | Gary Olson | Dentist | 419 N Yelm St, Kennewick, WA 99336-3001 | 2007-04-09 |
| 1336232685 | Gary Douglas Olson | Dentist | 157 W Cedar St, Suite 206, Akron, OH 44307-2564 | 2006-10-01 |
| 1508961632 | Gary W. Olson | Physical Therapist | 325 9th Ave, Box 359827, Seattle, WA 98104-2420 | 2006-09-13 |
| Street Address |
285 COMMACK RD SUITE 10 |
| City | COMMACK |
| State | NY |
| Zip Code | 11725-3403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093989188 | Dr. Gary Olson Dc PC | Chiropractor | 285 Commack Rd, Suite 10, Commack, NY 11725-3403 | 2008-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699322131 | Amanda Grace Acebedo | Student in an Organized Health Care Education/Training Program | 785 Larkfield Rd, Commack, NY 11725 | 2019-08-20 |
| 1922667716 | Diana Mcnamara | Social Worker | 13 Audrey Lane, Commack, NY 11725 | 2019-06-06 |
| 1821504333 | Amy Koenig | Specialist | 787 Larkfield Rd, Commack, NY 11725 | 2017-12-19 |
| 1437661501 | Commack Chemist Inc | Pharmacy | 6216 Jericho Turnpike, Commack, NY 11725 | 2017-10-30 |
| 1285168880 | Stephanie Arico | Counselor | 14 Silver Pond Cir, Commack, NY 11725 | 2017-04-20 |
| 1235684432 | Ams Primary Medical Care House Calls,pc | Home Health | 6277 Jericho Tpk, Commack, NY 11725 | 2016-08-18 |
| 1376927459 | Min Sun Park | Dentist | All About Smiles Pediatric Dentistry, 5036 Jericho Turnpike Suite #307, Commack, NY 11725 | 2015-07-17 |
| 1467843748 | Joanna Keegan | Pharmacy Technician | 98 Veterans Memorial Highway, Commack, NY 11725 | 2015-02-09 |
| 1275936841 | Jennie Bernstein | Social Worker | 368 Veterans Hwy Ste 2, Commack, NY 11725 | 2014-09-26 |
| 1417362021 | Diana Matira Yildirim | Pediatrics | 646 Commack Road, Commack, NY 11725 | 2014-06-23 |
| Find all providers in zip 11725 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669969408 | Commack Chiropractic, PC | Chiropractor | 2171 Jericho Tpke Ste 131, Commack, NY 11725-2900 | 2018-04-17 |
| 1649786187 | Thomas Joseph Pollet | Chiropractor | 6080 Jericho Tpke Ste 305, Commack, NY 11725-2808 | 2017-12-20 |
| 1952848442 | Precision Chiropractic Diagnostics PC | Chiropractor | 6 Tulipwood Dr, Commack, NY 11725-5616 | 2017-01-23 |
| 1063809143 | Mark J Levitan | Chiropractor | 36 Madder Lake Cir, Commack, NY 11725-2340 | 2015-04-16 |
| 1013335934 | Scelza Family Chiropractic | Chiropractor | 6268 Jericho Turnpike #6, Commack, NY 11725 | 2014-03-29 |
| 1710150990 | Thomas Stabile | Chiropractor | 7 Orleans Ct, Commack, NY 11725-4030 | 2008-04-08 |
| 1033325766 | Robert Louis Rupnick | Chiropractor | 110 New Hwy, Commack, NY 11725-4232 | 2007-05-16 |
| 1114140316 | Harold Roher | Chiropractor | 30 Jericho Tpke, Suite 150, Commack, NY 11725-3009 | 2007-04-10 |
| 1841343639 | Durlan Castro | Chiropractor | 285 10 Commack Road, Commack, NY 11725 | 2007-01-18 |
| 1114090156 | William J Germano | Chiropractor | 152 Veterans Memorial Hwy, Commack, NY 11725-3634 | 2006-11-16 |
| Find all providers in COMMACK | ||||
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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.