Jeffrey Olson (NPI# 1669727913, PAC ID# 3779804299) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1669727913 |
| PAC ID by PECOS | 3779804299 |
| Professional Enrollment ID | I20150609000460 |
| Full Name | Jeffrey Olson |
| Organization Legal Name | NAZARETH PHYSICIAN SERVICES |
| Address |
2630 Holme Ave Suite 101 Philadelphia PA 19152-3004 |
| Phone Number | 2156246007 |
| Gender | M |
| Medical School | LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0941229017 |
| Number of Group Practice Members | 61 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390156 | MERCY FITZGERALD HOSPITAL |
| 390204 | NAZARETH HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2630 Holme Ave, Suite 101, Philadelphia, PA 19152-3004 | 2156246007 | NAZARETH PHYSICIAN SERVICES |
| Organization Legal Name | NAZARETH PHYSICIAN SERVICES |
| Physicians | 59 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Prasoon Kumar Yendluri | Hospitalist | Nazareth Physician Services | 2601 Holme Ave, Philadelphia, PA 19152-2007 |
| Lori Dwyer | Nurse Practitioner | Nazareth Physician Services | 9815 Roosevelt Blvd, Suite G, Philadelphia, PA 19114-1035 |
| Helen Christine Thorpe | Family Medicine | Nazareth Physician Services | 1407 Rhawn St, Philadelphia, PA 19111-2803 |
| Fabian A Vengoechea | Internal Medicine | Nazareth Physician Services | 2601 Holme Ave, Philadelphia, PA 19152-2007 |
| Olutoyin Iziengbuwa Ekundayo | Nurse Practitioner | Nazareth Physician Services | 2601 Holme Ave, Philadelphia, PA 19152-2007 |
| Kimberly A Feltner | Hospitalist | Nazareth Physician Services | 2601 Holme Ave, Philadelphia, PA 19152-2007 |
| Konstantin Ozerinsky | Hospitalist | Nazareth Physician Services | 2601 Holme Ave, Philadelphia, PA 19152-2007 |
| Arthur J Barnaby | Vascular Surgery | Nazareth Physician Services | 2701 Holme Ave, Suite 104, Philadelphia, PA 19152-2029 |
| Keith D Eicher | Hospitalist | Nazareth Physician Services | 2601 Holme Ave, Philadelphia, PA 19152-2007 |
| Hussam Kudsi | General Surgery | Nazareth Physician Services | 2701 Holme Ave, Suite 104, Philadelphia, PA 19152-2029 |
| Street Address |
2630 HOLME AVE SUITE 101 |
| City | PHILADELPHIA |
| State | PA |
| Zip | 19152-3004 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Atif Khalid Ahmed | Orthopedic Surgery | Reconstructive Orthopaedic Associates II PC | 2630 Holme Ave, Suite 200, Philadelphia, PA 19152-3004 |
| Heather E Wilkinson | Physical Therapy | Reconstructive Orthopaedic Associates II PC | 2630 Holme Ave, Suite 200, Philadelphia, PA 19152-3004 |
| Charles J Morris | Physical Therapy | Reconstructive Orthopaedic Associates II PC | 2630 Holme Ave, Suite 200, Philadelphia, PA 19152-3004 |
| Ashley J Miller | Family Practice | Nazareth Physician Services | 2630 Holme Ave, Suite 101, Philadelphia, PA 19152-3004 |
| Val R Cantagallo | Family Practice | Nazareth Physician Services | 2630 Holme Ave, Philadelphia, PA 19152-3004 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rachel Gold | Nurse Practitioner | Einstein Practice Plan Inc | 8556 Bustleton Ave, Philadelphia, PA 19152-1218 |
| Charles C Whitlock Jr. | Clinical Social Worker | Informed Decisions for Seniors, LLC | 2640 Maxwell St, Philadelphia, PA 19152-1551 |
| Mariam Salahou | Nurse Practitioner | 16 Old Ashton Rd, Suite 1, Philadelphia, PA 19152-1661 | |
| Michael Ziev | Family Medicine | 1800 Fox Chase Rd, Philadelphia, PA 19152-1827 | |
| Amanda Pallister | Optometry | Progressive Vision Institute of Philadelphia, PC | 8401 Bustleton Ave, Philadelphia, PA 19152-1901 |
| Thomas C Peff | Orthopedic Surgery | 8407 Bustleton Ave, Philadelphia, PA 19152-1901 | |
| Kristina Bagdasarian | Optometry | 8354 Bustleton Ave, Philadelphia, PA 19152-1909 | |
| Abigail Abbas | Clinical Social Worker | 8400 Bustleton Ave, Suite 7, Philadelphia, PA 19152-1918 | |
| Itzhak Kaganovich | Chiropractic | 8400 Bustleton Ave, Suite 102, Philadelphia, PA 19152-1918 | |
| Anna C Lysiak | Internal Medicine | 8400 Bustleton Ave, Suite 101, Philadelphia, PA 19152-1918 | |
| Find all physicians in zip 19152 | |||
| City | PHILADELPHIA |
| Zip Code | 19152 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | PHILADELPHIA + FAMILY MEDICINE |
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| 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.