JEREMI THOMAS OLSON PA-C NPI 1003803339

NPI Information

  • NPI: 1003803339
  • Provider Name: JEREMI THOMAS OLSON, PA-C
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 700 S PARK ST
    DEAN ST. MARY'S OUTPATIENT CENTER
    MADISON, WI
    ZIP 53715
  • Phone: (608) 260-2900

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NPI Details

Jeremi Thomas Olson, PA-C is a surgical physician assistant in Madison, WI with 24 years of experience. Jeremi Thomas Olson, PA-C NPI is 1003803339. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

700 S PARK ST
DEAN ST. MARY'S OUTPATIENT CENTER
MADISON, WI
ZIP 53715-830
Phone: (608) 260-2900
Fax: (608) 260-7975

The NPI 1003803339 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 10/3/2005 and was last updated on 4/15/2009.

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
1363AM0700XPhysician AssistantMedical1489-023WISCONSINNo
2363AS0400XPhysician AssistantSurgical1489-023WISCONSINYes

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
1P79011MEDICARE UPIN
260570OTHERWISCONSINDEAN HEALTH INSURANCE
341966100MEDICAIDWISCONSIN
4010A74150MEDICARE PINWISCONSIN
5P00679103MEDICARE PINWISCONSIN

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: 11/21/2025

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