Thomas G Olsen (NPI# 1023005261, PAC ID# 5496754673) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1023005261 |
| PAC ID by PECOS | 5496754673 |
| Professional Enrollment ID | I20061218000006 |
| Full Name | Thomas G Olsen |
| Organization Legal Name | DERMATOLOGISTS OF SOUTHWESTERN OHIO, LLC |
| Address |
5300 Far Hills Ave Dayton OH 45429-2381 |
| Phone Number | 9374337536 |
| Gender | M |
| Credential | MD |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1972 |
| Primary Specialty | DERMATOLOGY |
| Secondary Specialties | PATHOLOGY |
| Group Practice PAC ID | 7113973041 |
| Number of Group Practice Members | 54 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 5300 Far Hills Ave, Dayton, OH 45429-2381 | 9374337536 | DERMATOLOGISTS OF SOUTHWESTERN OHIO, LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_238_2+ | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_238_overall | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_265_overall | Biopsy Follow-Up | 68% | |
| MIPS_EC_402_overall | Tobacco Use and Help with Quitting Among Adolescents | 100% |
| Organization Legal Name | DERMATOLOGISTS OF SOUTHWESTERN OHIO, LLC |
| Physicians | 58 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Meredith Lauren Goodwin | Physician Assistant | Dermatologists of Southwestern Ohio, LLC | 2359 E Main St, Bexley, OH 43209-2421 |
| Tara Rower | Nurse Practitioner | Dermatologists of Southwestern Ohio, LLC | 3572 Dayton Xenia Rd, Suite 105, Beavercreek, OH 45432-2838 |
| Leigh Ann Pansch | Nurse Practitioner | Dermatologists of Southwestern Ohio, LLC | 7691 5 Mile Rd, Suite 312, Cincinnati, OH 45230-4348 |
| Shannon M Groves | Physician Assistant | Dermatologists of Southwestern Ohio, LLC | 6110 Radio Way, Mason, OH 45040-4520 |
| Phillip K Hall | Dermatology | Dermatologists of Southwestern Ohio, LLC | 45 S Stanfield Rd, Troy, OH 45373-2366 |
| Michael P Conroy | Dermatology | Dermatologists of Southwestern Ohio, LLC | 7450 Hospital Dr, Suite 370, Dublin, OH 43016-9629 |
| Matthew James Zirwas | Dermatology | Dermatologists of Southwestern Ohio, LLC | 2065 Stringtown Rd, Grove City, OH 43123-2930 |
| Megan M Whitehouse | Physician Assistant | Dermatologists of Southwestern Ohio, LLC | 6110 Radio Way, Mason, OH 45040-4520 |
| Dominique N Hunt | Physician Assistant | Dermatologists of Southwestern Ohio, LLC | 5300 Far Hills Ave, Dayton, OH 45429-2381 |
| Mary J Kendrick | Dermatology | Dermatologists of Southwestern Ohio, LLC | 3555 Olentangy River Rd, Suite 4000, Columbus, OH 43214-3915 |
| Street Address |
5300 FAR HILLS AVE |
| City | DAYTON |
| State | OH |
| Zip | 45429-2381 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dominique N Hunt | Physician Assistant | Dermatologists of Southwestern Ohio, LLC | 5300 Far Hills Ave, Dayton, OH 45429-2381 |
| Lauren D Nevins | Physician Assistant | Dermatologists of Southwestern Ohio, LLC | 5300 Far Hills Ave, Dayton, OH 45429-2381 |
| Matthew R Talarczyk | Plastic and Reconstructive Surgery | Dermatologists of Southwestern Ohio, LLC | 5300 Far Hills Ave, Dayton, OH 45429-2381 |
| John S Cardone | Dermatology | Dermatologists of Southwestern Ohio, LLC | 5300 Far Hills Ave, Dayton, OH 45429-2381 |
| Srikanth Vangapandu | Physician Assistant | Dermatologists of Southwestern Ohio, LLC | 5300 Far Hills Ave, Dayton, OH 45429-2381 |
| Kimberly A Radloff | Dermatology | Dermatologists of Southwestern Ohio, LLC | 5300 Far Hills Ave, Dayton, OH 45429-2381 |
| Natalie Marie Meeks | Dermatology | Dermatologists of Southwestern Ohio, LLC | 5300 Far Hills Ave, Dayton, OH 45429-2381 |
| Christopher A Reeder | Plastic and Reconstructive Surgery | Dermatologists of Southwestern Ohio, LLC | 5300 Far Hills Ave, Dayton, OH 45429-2381 |
| Jennifer Lynn Midtlien | Nurse Practitioner | Dermatologists of Southwestern Ohio, LLC | 5300 Far Hills Ave, Dayton, OH 45429-2381 |
| Kathryn V Balazs | Dermatology | Dermatologists of Southwestern Ohio, LLC | 5300 Far Hills Ave, Dayton, OH 45429-2381 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sylvia Polenakovik | Internal Medicine | Alliance Physicians Inc | 3535 Southern Blvd, Kettering, OH 45429-1221 |
| Swathi Datla | Family Medicine | Alliance Physicians Inc | 3535 Southern Blvd, Kettering, OH 45429-1221 |
| Timberly De Ann Harvey | Certified Registered Nurse Anesthetist (crna) | Kettering Anesthesia Associates, Inc | 3535 Southern Blvd, Kettering, OH 45429-1221 |
| Julia Anne Balandiat | Physician Assistant | Alliance Physicians Inc | 3535 Southern Blvd, Kettering, OH 45429-1221 |
| Nicole K Hammock | Nurse Practitioner | South Dayton Acute Care Consultants, Inc | 3535 Southern Blvd, Dayton, OH 45429-1221 |
| David B Jackson | Emergency Medicine | Emergency Medicine Specialists Inc | 3535 Southern Blvd, Kettering, OH 45429-1221 |
| Michael Kelley | Physician Assistant | Alliance Physicians Inc | 3535 Southern Blvd, Kettering, OH 45429-1221 |
| Daniel Lucian Butnariu | Critical Care (intensivists) | South Dayton Acute Care Consultants, Inc | 3535 Southern Blvd, Dayton, OH 45429-1221 |
| Michael David Johnson | General Surgery | Alliance Physicians Inc | 3535 Southern Blvd, Kettering, OH 45429-1221 |
| Michael Benjamin Gentry | Pathology | Kettering Pathology Associates Inc | 3535 Southern Blvd, Kettering, OH 45429-1221 |
| Find all physicians in zip 45429 | |||
| City | DAYTON |
| Zip Code | 45429 |
| Specialty | DERMATOLOGY |
| City + Specialty | DAYTON + DERMATOLOGY |
Please comment or provide details below to improve the information on Thomas G Olsen.
| 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.