Karl H Olson (NPI# 1508846353, PAC ID# 1456439546) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1508846353 |
| PAC ID by PECOS | 1456439546 |
| Professional Enrollment ID | I20080415000192 |
| Full Name | Karl H Olson |
| Organization Legal Name | ST LUKES REGIONAL MEDICAL CENTER |
| Address |
465 Mckenna Dr Mountain Home ID 83647-2143 |
| Phone Number | 2085879703 |
| Gender | M |
| Medical School | UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE |
| Graduation Year | 1993 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 5799692604 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 131311 | ST LUKE'S ELMORE MEDICAL CENTER |
| 130006 | ST LUKE'S REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 465 Mckenna Dr, Mountain Home, ID 83647-2143 | 2085879703 | ST LUKES REGIONAL MEDICAL CENTER |
| Organization Legal Name | ST LUKES REGIONAL MEDICAL CENTER |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heather Shaw | Registered Dietitian Or Nutrition Professional | St Lukes Regional Medical Center | 130 E Boise Ave, Boise, ID 83706-4302 |
| Sarah B Seppa | Registered Dietitian Or Nutrition Professional | St Lukes Regional Medical Center | 1226 W River St, Boise, ID 83702-7049 |
| Rachel K Myers | Registered Dietitian Or Nutrition Professional | St Lukes Regional Medical Center | 520 S Eagle Rd, Suite 1229, Meridian, ID 83642-6355 |
| Julie Jo Walker | Registered Dietitian Or Nutrition Professional | St Lukes Regional Medical Center | 520 S Eagle Rd, Suite 1229, Meridian, ID 83642-6355 |
| Alyssa Marie Gallagher | Registered Dietitian Or Nutrition Professional | St Lukes Regional Medical Center | 520 S Eagle Rd, Suite 1229, Meridian, ID 83642-6355 |
| Carolyn J Cox | Registered Dietitian Or Nutrition Professional | St Lukes Regional Medical Center | 520 S Eagle Rd, Suite 1229, Meridian, ID 83642-6355 |
| Marisue Smith | Registered Dietitian Or Nutrition Professional | St Lukes Regional Medical Center | 130 E Boise Ave, Boise, ID 83706-4302 |
| Elva M Mcnurlin | Registered Dietitian Or Nutrition Professional | St Lukes Regional Medical Center | 465 Mckenna Dr, Mountain Home, ID 83647-2143 |
| Street Address |
465 MCKENNA DR |
| City | MOUNTAIN HOME |
| State | ID |
| Zip | 83647-2143 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary K Jenks | Nurse Practitioner | St Lukes Clinic-treasure Valley LLC | 465 Mckenna Dr, Mountain Home, ID 83647-2143 |
| Whitney A Roberts | Physician Assistant | St Lukes Clinic-treasure Valley LLC | 465 Mckenna Dr, Mountain Home, ID 83647-2143 |
| Dennis D Crossley | Family Medicine | St Lukes Clinic-treasure Valley LLC | 465 Mckenna Dr, Mountain Home, ID 83647-2143 |
| Michelle Pehrson | Nurse Practitioner | St Lukes Clinic-treasure Valley LLC | 465 Mckenna Dr, Mountain Home, ID 83647-2143 |
| Michael S Charme | Family Medicine | St Lukes Clinic-treasure Valley LLC | 465 Mckenna Dr, Mountain Home, ID 83647-2143 |
| Justin G Smith | Family Medicine | St Lukes Clinic-treasure Valley LLC | 465 Mckenna Dr, Mountain Home, ID 83647-2143 |
| Elva M Mcnurlin | Registered Dietitian Or Nutrition Professional | St Lukes Regional Medical Center | 465 Mckenna Dr, Mountain Home, ID 83647-2143 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jamie R Knapp | Physician Assistant | St Lukes Clinic-treasure Valley LLC | 840 N 4th, Mountain Home, ID 83647-2137 |
| Timothy M Ruth | Family Medicine | St Lukes Clinic-treasure Valley LLC | 840 N 4th, Mountain Home, ID 83647-2137 |
| Karen A Galvan | General Surgery | St Lukes Clinic-treasure Valley LLC | 840 N 4th, Mountain Home, ID 83647-2137 |
| Lily J Wittich | Family Medicine | St Lukes Clinic-treasure Valley LLC | 840 N 4th, Mountain Home, ID 83647-2137 |
| Joseph W Hoskin | Physician Assistant | St Lukes Clinic-treasure Valley LLC | 840 N 4th, Mountain Home, ID 83647-2137 |
| Guy E Grooms | Orthopedic Surgery | North Canyon Medical Center Inc | 840 N 4th, Mountain Home, ID 83647-2166 |
| Megan M Sandmann | Family Medicine | Rural Physicians Group Pannu Pllc | 895 N 6th, Mountain Home, ID 83647-2207 |
| Steven V Marx | Diagnostic Radiology | Boise Radiology Group Pllc | 895 N 6th St E, Mountain Home, ID 83647-2207 |
| Jeffrey M Pugsley | Diagnostic Radiology | Boise Radiology Group Pllc | 895 N 6th St E, Mountain Home, ID 83647-2207 |
| Adam S Maxfield | Diagnostic Radiology | Boise Radiology Group Pllc | 895 N 6th St E, Mountain Home, ID 83647-2207 |
| Find all physicians in zip 83647 | |||
| City | MOUNTAIN HOME |
| Zip Code | 83647 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | MOUNTAIN HOME + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Karl H Olson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.