DR. MARTIN D OLLENSCHLEGER M.D. NPI 1407053655

NPI Information

NPI: 1407053655
Provider Name: DR. MARTIN D OLLENSCHLEGER, M.D.
Classification: Radiology - 2085N0700X
Entity Type: Individual

Specialization: Neuroradiology

PECOS Registration: Yes

Address:
85 SEYMOUR ST
SUITE 200
HARTFORD, CT
ZIP 06106
Phone: (860) 293-6053
Get Directions

DR. Martin D Ollenschleger, M.D. is a neuroradiology radiology in Hartford, CT with 22 years of experience. The provider is a radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. DR. Martin D Ollenschleger, M.D. NPI is 1407053655. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: RUTGERS NEW JERSEY MEDICAL SCHOOL
Graduation Year:2002

The provider's business location address is:

85 SEYMOUR ST
SUITE 200
HARTFORD, CT
ZIP 06106-501
Phone: (860) 293-6053
Fax: (860) 293-6060

The NPI 1407053655 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 6/29/2007 and was last updated on 9/15/2011.

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	2084N0400X	Psychiatry & Neurology	Neurology	48892	CONNECTICUT	No
2	2085R0204X	Radiology	Vascular & Interventional Radiology	48892	CONNECTICUT	No
3	2085R0202X	Radiology	Diagnostic Radiology	48892	CONNECTICUT	No
4	2085N0700X	Radiology	Neuroradiology	234067	NEW YORK	No
5	2084N0400X	Psychiatry & Neurology	Neurology	234067	NEW YORK	No
6	2085R0202X	Radiology	Diagnostic Radiology	234067	NEW YORK	No
7	2085N0700X	Radiology	Neuroradiology	48892	CONNECTICUT	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	03103495	MEDICAID	NEW YORK

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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