ELDON W OLSON MD NPI 1639159601

NPI Information

  • NPI: 1639159601
  • Provider Name: ELDON W OLSON, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • Address: 620 W EDISON RD
    STE 110
    MISHAWAKA, IN
    ZIP 46545
  • Phone: (574) 258-1100

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NPI Details

Eldon W Olson, MD is a diagnostic radiology radiology in Mishawaka, IN. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Eldon W Olson, MD NPI is 1639159601. 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:

620 W EDISON RD
STE 110
MISHAWAKA, IN
ZIP 46545-784
Phone: (574) 258-1100
Fax: (574) 258-1101

The enumeration date for this NPI number is 1/18/2006 and was last updated on 5/21/2013.

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
12085B0100XRadiologyBody Imaging01053117AINDIANANo
22085N0700XRadiologyNeuroradiology01053117AINDIANANo
32085N0904XRadiologyNuclear Radiology01053117AINDIANANo
42085P0229XRadiologyPediatric Radiology01053117AINDIANANo
52085R0203XRadiologyTherapeutic Radiology01053117AINDIANANo
62085R0204XRadiologyVascular & Interventional Radiology01053117AINDIANANo
72085U0001XRadiologyDiagnostic Ultrasound01053117AINDIANANo
82085R0202XRadiologyDiagnostic Radiology01053117AINDIANAYes

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
1C73618MEDICARE UPIN
2100322280MEDICAIDINDIANA
3728230AAAMEDICARE PININDIANA

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

NPI Synchronization or Removal

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