JOHN E OLERUD NPI 1255417036

NPI Information

NPI: 1255417036
Provider Name: JOHN E OLERUD
Classification: Dermatology - 207NP0225X
Entity Type: Individual

Specialization: Pediatric Dermatology

Address:
UWMC-ROOSEVELT
4225 ROOSEVELT WAY NE
SEATTLE, WA
ZIP 98105
Phone: (206) 598-4067
Get Directions

John E Olerud is a pediatric dermatology dermatology in Seattle, WA. The provider is a pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents. John E Olerud NPI is 1255417036. 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:

UWMC-ROOSEVELT
4225 ROOSEVELT WAY NE
SEATTLE, WA
ZIP 98105-166
Phone: (206) 598-4067

The enumeration date for this NPI number is 10/27/2006 and was last updated on 3/3/2009.

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
1	207N00000X	Dermatology		MD00015240	WASHINGTON	No
2	207NP0225X	Dermatology	Pediatric Dermatology	MD00015240	WASHINGTON	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	A05296	MEDICARE UPIN
2	0801	OTHER		INTERNAL ID-MOTOR VEHICLE ID
3	8392805	MEDICAID	WASHINGTON
4	103920	MEDICARE ID-TYPE UNSPECIFIED

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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