JESSE D. OLSON NPI 1124286760

NPI Information

  • NPI: 1124286760
  • Provider Name: JESSE D. OLSON
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Organization
  • Address: 202 ISLAND DR
    SUITE 1
    FORT PIERRE, SD
    ZIP 57532
  • Phone: (605) 222-0661

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NPI Details

JESSE D. OLSON is a foot and ankle surgery podiatrist in Fort Pierre, SD. JESSE D. OLSON NPI is 1124286760. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

202 ISLAND DR
SUITE 1
FORT PIERRE, SD
ZIP 57532-302
Phone: (605) 222-0661

The provider's authorized official is Jesse D Olson .
The authorized official title is Owner and has the following contact phone number (605) 222-0661.

The enumeration date for this NPI number is 5/30/2008 and was last updated on 6/23/2009.

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
1213ES0103XPodiatristFoot & Ankle Surgery164SOUTH DAKOTAYes

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
11315420001MEDICARE NSCSOUTH DAKOTA
2T41997MEDICARE UPINSOUTH DAKOTA

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: 3/30/2025

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