Dana O Olson (NPI# 1356340400, PAC ID# 7315044104) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1356340400 |
| PAC ID by PECOS | 7315044104 |
| Professional Enrollment ID | I20100802000291 |
| Full Name | Dana O Olson |
| Organization Legal Name | PROFESSIONAL IMAGING, INC. |
| Address |
12 Th St Ext Princeton Community Hospital Princeton WV 24740 |
| Phone Number | 3044871076 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON |
| Graduation Year | 1973 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Secondary Specialties | NUCLEAR MEDICINE |
| Group Practice PAC ID | 4385625938 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 510046 | PRINCETON COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| Rt 10 Cook Pkwy, Family Healthcare, Oceana, WV 24870-0001 | 3044871076 | PROFESSIONAL IMAGING, INC. |
| 12 Th St Ext, Princeton Community Hospital, Princeton, WV 24740 | 3044871076 | PROFESSIONAL IMAGING, INC. |
| 608 New Hope Rd, Suite 7, Princeton, WV 24740-2287 | 3044871076 | PROFESSIONAL IMAGING, INC. |
| 13525 Coal River Rd, Raleigh Boone Clinic, Whitesville, WV 25209 | 3044871076 | PROFESSIONAL IMAGING, INC. |
| Organization Legal Name | PROFESSIONAL IMAGING, INC. |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edward D Aycoth | Diagnostic Radiology | Professional Imaging, Inc. | 200 New Hope Rd, Suite 7, Princeton, WV 24740-2155 |
| Afzal U Ahmed | Diagnostic Radiology | Professional Imaging, Inc. | 12 Th St Ext, Princeton Community Hospital, Princeton, WV 24740 |
| Wesley L Asbury Jr. | Diagnostic Radiology | Professional Imaging, Inc. | 608 New Hope Rd, Suite 7, Princeton, WV 24740-2287 |
| Manuel T Franco | Diagnostic Radiology | Professional Imaging, Inc. | 608 New Hope Rd, Suite 7, Princeton, WV 24740-2287 |
| Michael E Shahan | Diagnostic Radiology | Professional Imaging, Inc. | 608 New Hope Rd, Suite 7, Princeton, WV 24740-2287 |
| David L Groten | Diagnostic Radiology | Professional Imaging, Inc. | 12 Th St Ext, Princeton Community Hospital, Princeton, WV 24740 |
| Basim W Antoun | Diagnostic Radiology | Professional Imaging, Inc. | 608 New Hope Rd, Suite 7, Princeton, WV 24740-2287 |
| Dilip B Patel | Diagnostic Radiology | Professional Imaging, Inc. | 12 Th St Ext, Princeton Community Hospital, Princeton, WV 24740 |
| Street Address |
12 TH ST EXT PRINCETON COMMUNITY HOSPITAL |
| City | PRINCETON |
| State | WV |
| Zip | 24740 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Afzal U Ahmed | Diagnostic Radiology | Professional Imaging, Inc. | 12 Th St Ext, Princeton Community Hospital, Princeton, WV 24740 |
| David L Groten | Diagnostic Radiology | Professional Imaging, Inc. | 12 Th St Ext, Princeton Community Hospital, Princeton, WV 24740 |
| Dilip B Patel | Diagnostic Radiology | Professional Imaging, Inc. | 12 Th St Ext, Princeton Community Hospital, Princeton, WV 24740 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melody S Ponce | Nurse Practitioner | Bluefield Gastroenterology Pllc | 405 12th St, Princeton, WV 24740 |
| Michele Evans Smith | Certified Registered Nurse Anesthetist (crna) | Bluefield Gastroenterology Pllc | 405 12th St, Princeton, WV 24740 |
| Gopal M Pardasani | Pathology | Bluefield Gastroenterology Pllc | 405 12th St, Princeton, WV 24740 |
| Tammie L Smith | Psychologist, Clinical | 105 Gott Rd, Princeton, WV 24740-2103 | |
| Nasreen R Dar | Psychiatry | 6 Quail Valley Medical Ctr, Princeton, WV 24740-2139 | |
| Shahnaz I Rana | Internal Medicine | 100 New Hope Rd, Suite 208, Princeton, WV 24740-2143 | |
| Generoso D Duremdes | General Surgery | Princeton Surgical Group Inc | 508 New Hope Rd, Suite 106, Princeton, WV 24740-2143 |
| Gene Bermejo Duremdes | General Surgery | Princeton Surgical Group Inc | 508 New Hope Rd, Suite 106, Princeton, WV 24740-2143 |
| Edward D Aycoth | Diagnostic Radiology | Professional Imaging, Inc. | 200 New Hope Rd, Suite 7, Princeton, WV 24740-2155 |
| Kenneth John Baker | Obstetrics/gynecology | Princeton Community Hospital Assn., Inc. | 114 Undercliff Ter, Princeton, WV 24740-2174 |
| Find all physicians in zip 24740 | |||
| City | PRINCETON |
| Zip Code | 24740 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | PRINCETON + DIAGNOSTIC RADIOLOGY |
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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.