Dan Neil Olson (NPI# 1417981077, PAC ID# 4183678360) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1417981077 |
| PAC ID by PECOS | 4183678360 |
| Professional Enrollment ID | I20050310000339 |
| Full Name | Dan Neil Olson |
| Organization Legal Name | TRUMBULL MAHONING MEDICAL GROUP, INC. |
| Address |
2600 Elm Rd Ne Cortland OH 44410-9393 |
| Phone Number | 3303728820 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF MINNESOTA MEDICAL SCHOOL |
| Graduation Year | 1974 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 3779537022 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360055 | STEWARD TRUMBULL MEMORIAL HOSPITAL, INC |
| Address | Phone | Organization |
|---|---|---|
| 2600 Elm Rd Ne, Cortland, OH 44410-9393 | 3303728820 | TRUMBULL MAHONING MEDICAL GROUP, INC. |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 78% | |
| ACI_EC_TRANS_HIE_1 | Health Information Exchange | 56% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 100% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 91% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 18% | |
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_2 | Syndromic Surveillance Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 89% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 14% | |
| MIPS_EC_039_overall | Screening for Osteoporosis for Women Aged 65-85 Years of Age | 63% | |
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 90% | |
| MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 90% | |
| MIPS_EC_113_overall | Colorectal Cancer Screening | 76% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 45% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 94% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | TRUMBULL MAHONING MEDICAL GROUP, INC. |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott M Agnew | Family Medicine | Trumbull Mahoning Medical Group, Inc. | 901 Trailwood Dr, Youngstown, OH 44512-5008 |
| Sameh Ibrahi Youssef | Internal Medicine | Trumbull Mahoning Medical Group, Inc. | 2600 Elm Rd Ne, Cortland, OH 44410-9393 |
| Benjamin J Kulper | Internal Medicine | Trumbull Mahoning Medical Group, Inc. | 2600 Elm Rd Ne, Cortland, OH 44410-9393 |
| Sohair Kamel Rostom | Internal Medicine | Trumbull Mahoning Medical Group, Inc. | 2600 Elm Rd Ne, Cortland, OH 44410-9393 |
| Linda Louise Cuculic | Family Medicine | Trumbull Mahoning Medical Group, Inc. | 2600 Elm Rd Ne, Cortland, OH 44410-9393 |
| Mourad Louis Rostom | Internal Medicine | Trumbull Mahoning Medical Group, Inc. | 2600 Elm Rd Ne, Cortland, OH 44410-9393 |
| Suzan L Selim | Internal Medicine | Trumbull Mahoning Medical Group, Inc. | 901 Trailwood Dr, Youngstown, OH 44512-5008 |
| Ruth F Quarles | Family Medicine | Trumbull Mahoning Medical Group, Inc. | 2600 Elm Rd Ne, Cortland, OH 44410-9393 |
| John Andrew Marakas | Internal Medicine | Trumbull Mahoning Medical Group, Inc. | 901 Trailwood Dr, Youngstown, OH 44512-5008 |
| Paul E Lesnoski | Family Medicine | Trumbull Mahoning Medical Group, Inc. | 901 Trailwood Dr, Youngstown, OH 44512-5008 |
| Street Address |
2600 ELM RD NE |
| City | CORTLAND |
| State | OH |
| Zip | 44410-9393 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sameh Ibrahi Youssef | Internal Medicine | Trumbull Mahoning Medical Group, Inc. | 2600 Elm Rd Ne, Cortland, OH 44410-9393 |
| Benjamin J Kulper | Internal Medicine | Trumbull Mahoning Medical Group, Inc. | 2600 Elm Rd Ne, Cortland, OH 44410-9393 |
| Sohair Kamel Rostom | Internal Medicine | Trumbull Mahoning Medical Group, Inc. | 2600 Elm Rd Ne, Cortland, OH 44410-9393 |
| Linda Louise Cuculic | Family Medicine | Trumbull Mahoning Medical Group, Inc. | 2600 Elm Rd Ne, Cortland, OH 44410-9393 |
| Mourad Louis Rostom | Internal Medicine | Trumbull Mahoning Medical Group, Inc. | 2600 Elm Rd Ne, Cortland, OH 44410-9393 |
| Ruth F Quarles | Family Medicine | Trumbull Mahoning Medical Group, Inc. | 2600 Elm Rd Ne, Cortland, OH 44410-9393 |
| Mary Ann Fontanarosa | Internal Medicine | Trumbull Mahoning Medical Group, Inc. | 2600 Elm Rd Ne, Cortland, OH 44410-9393 |
| Urwa Barakat | Cardiovascular Disease (cardiology) | Trumbull Mahoning Medical Group, Inc. | 2600 Elm Rd Ne, Cortland, OH 44410-9393 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Heilman | Psychologist, Clinical | Psy-care, Inc. | 378 N High St, Cortland, OH 44410-1023 |
| Dale Pearson Lindsey | Optometry | 122 Fowler St, Cortland, OH 44410-1328 | |
| Robert A Murphy | Physical Therapy | Action Physical Therapy and Rehabilitation, Inc | 168 S High St, Cortland, OH 44410-1416 |
| Robert Douglas Cameron | Physical Therapy | Action Physical Therapy and Rehabilitation, Inc | 168 S High St, Cortland, OH 44410-1416 |
| Anthony M Schiraldi | Physical Therapy | Action Physical Therapy and Rehabilitation, Inc | 168 S High St, Cortland, OH 44410-1416 |
| Todd G Rowan | Physical Therapy | Action Physical Therapy and Rehabilitation, Inc | 168 S High St, Cortland, OH 44410-1416 |
| Elizabeth A Gero | Podiatry | Wound Care Consultants LLC | 109 Walnut St, Cortland, OH 44410-1421 |
| Marc A Berkowitz | Podiatry | Wound Care Consultants LLC | 109 Walnut St, Cortland, OH 44410-1421 |
| Thomas Paul Montgomery | Chiropractic | 148 W Main St, Cortland, OH 44410-1432 | |
| Charlene Pallante | Physical Therapy | Integrative Medical Centers of Ohio Inc | 148 W Main St, Cortland, OH 44410-1432 |
| Find all physicians in zip 44410 | |||
| City | CORTLAND |
| Zip Code | 44410 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | CORTLAND + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Dan Neil 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.