Benjy Olsen (NPI# 1205889417, PAC ID# 5496759995) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1205889417 |
| PAC ID by PECOS | 5496759995 |
| Professional Enrollment ID | I20161201001165 |
| Full Name | Benjy Olsen |
| Organization Legal Name | ST JOSEPH FOOT CLINIC LLC |
| Address |
1005 W Saint Maartens Dr Saint Joseph MO 64506-2969 |
| Phone Number | 8163642338 |
| Gender | M |
| Credential | DPM |
| Graduation Year | 2003 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 9234132630 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260062 | SAINT LUKES NORTH HOSPITAL |
| 260006 | MOSAIC LIFE CARE AT ST JOSEPH |
| 170133 | SAINT LUKE'S CUSHING HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1005 W Saint Maartens Dr, Saint Joseph, MO 64506-2969 | 8163642338 | ST JOSEPH FOOT CLINIC LLC |
| Organization Legal Name | ST JOSEPH FOOT CLINIC LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Russell S Grimes | Podiatry | St Joseph Foot Clinic LLC | 1005 W Saint Maartens Dr, Saint Joseph, MO 64506-2969 |
| Street Address |
1005 W SAINT MAARTENS DR |
| City | SAINT JOSEPH |
| State | MO |
| Zip | 64506-2969 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Russell S Grimes | Podiatry | St Joseph Foot Clinic LLC | 1005 W Saint Maartens Dr, Saint Joseph, MO 64506-2969 |
| Phillip A Lipira | Podiatry | 1005 W Saint Maartens Dr, Suite A, Saint Joseph, MO 64506-2989 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benjamin S Reine | Family Medicine | Heartland Regional Medical Center | 5210 N Belt Hwy Entrance C, Mosaic Life Care, St Joseph, MO 64506-1211 |
| Juan C Dominguez | Family Medicine | Heartland Regional Medical Center | 5204 N Belt Hwy Entrance A, Mosaic Life Care, St Joseph, MO 64506-1211 |
| Jonathan C Amspacher | Plastic and Reconstructive Surgery | Heartland Regional Medical Center | 5204 N Belt Hwy Entrance A, Mosaic Life Care, St Joseph, MO 64506-1211 |
| Melissa M Farris | Nurse Practitioner | Heartland Regional Medical Center | 5204 N Belt Hwy Entrance A, Mosaic Life Care, St Joseph, MO 64506-1211 |
| Davin G Turner | Family Medicine | Heartland Regional Medical Center | 5204 N Belt Hwy Entrance A, Mosaic Life Care, St Joseph, MO 64506-1211 |
| Cody D Hanson | Dermatology | Heartland Regional Medical Center | 5204 N Belt Hwy Entrance A, Mosaic Life Care, St Joseph, MO 64506-1211 |
| Alan W Brewer | Family Medicine | Heartland Regional Medical Center | 5204 N Belt Hwy Entrance A, Mosaic Life Care, St Joseph, MO 64506-1211 |
| Whitney B Atha | Nurse Practitioner | Heartland Regional Medical Center | 5204 N Belt Hwy Entrance A, Mosaic Life Care, St Joseph, MO 64506-1211 |
| James G Day | Family Medicine | Heartland Regional Medical Center | 5204 N Belt Hwy Entrance A, Mosaic Life Care, St Joseph, MO 64506-1211 |
| Ana M Liolios | Dermatology | Heartland Regional Medical Center | 5204 N Belt Hwy Entrance A, Mosaic Life Care, St Joseph, MO 64506-1211 |
| Find all physicians in zip 64506 | |||
| City | SAINT JOSEPH |
| Zip Code | 64506 |
| Specialty | PODIATRY |
| City + Specialty | SAINT JOSEPH + PODIATRY |
Please comment or provide details below to improve the information on Benjy 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.