DR. JEROLD J. OLSON M.D. NPI 1881745354

NPI Information

NPI: 1881745354
Provider Name: DR. JEROLD J. OLSON, M.D.
Classification: Otolaryngology - 207YS0123X
Entity Type: Individual

Specialization: Facial Plastic Surgery

PECOS Registration: Yes

Address:
7418 N LA CHOLLA BLVD
TUCSON, AZ
ZIP 85741
Phone: (520) 731-1110
Get Directions

DR. Jerold J. Olson, M.D. is a facial plastic surgery otolaryngology in Tucson, AZ with 37 years of experience. The provider is an otolaryngologist who specializes in facial plastic surgery. DR. Jerold J. Olson, M.D. NPI is 1881745354. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Graduation Year:1987

The provider's business location address is:

7418 N LA CHOLLA BLVD
TUCSON, AZ
ZIP 85741-306
Phone: (520) 731-1110
Fax: (520) 731-6582

The NPI 1881745354 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/12/2007 and was last updated on 8/22/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207YS0123X	Otolaryngology	Facial Plastic Surgery	23526	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0004337570	OTHER	ARIZONA	AETNA
2	470895687-00	OTHER	ARIZONA	INDIAN HEALTH
3	47089568700	OTHER	ARIZONA	PACIFICARE
4	47089568785718A001	OTHER	ARIZONA	TRICARE
5	AZ0724550	OTHER	ARIZONA	BCBS
6	1Z6468	OTHER	ARIZONA	HEALTHNET
7	E39481	MEDICARE UPIN	ARIZONA
8	32220602	OTHER	ARIZONA	HEALTHCHOICE
9	322206001	OTHER	ARIZONA	APIPA
10	470895687	OTHER	ARIZONA	UNITED HEALTH CARE
11	Z74538	MEDICARE PIN	ARIZONA
12	P00010045	OTHER	ARIZONA	RR MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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