DR. MARY L OLSEN (NPI# 1083723753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083723753 |
| Entity Type | Individual |
| Full Name | DR. MARY L OLSEN |
| Credential | M.D. |
| Practice Address |
3030 North St Suite 450 Beaumont TX 77702-1433 |
| Practice Telephone | 4098329600 |
| Practice Fax Number | 4098329610 |
| Mailing Telephone | 4098329600 |
| Mailing Fax Number | 4098329610 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2011-10-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
G5447 | TX | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609363308 | Mary C. Olsen | Social Worker | 151 W 86th St Apt 1ce, New York, NY 10024-3401 | 2018-04-18 |
| 1134517105 | Mary Olsen | Speech-Language Pathologist | 6515 Glenhill Dr, Spring, TX 77389-5237 | 2014-12-29 |
| 1902968894 | Mary E Olsen | Chiropractor | 11 Renwick Avenue, Huntington, NY 11743-3044 | 2006-12-15 |
| 1669555363 | Mary G Olsen | Psychologist | 6940 Sw Baylor St, Tigard, OR 97223-2518 | 2006-10-24 |
| 1952923880 | Mary Lynn Olsen | Registered Nurse | 200 University Rdg, Greenville, SC 29601-3635 | 2020-05-14 |
| 1134626948 | Mary Anne Olsen | Psychologist | 8270 Willow Oaks Corporate Dr, Fairfax, VA 22031-4511 | 2018-04-09 |
| 1720396955 | Mary Amelia Olsen | Pharmacist | 3500 Wake Forest Rd, Raleigh, NC 27609-7307 | 2010-09-22 |
| 1700934122 | Mary Louise Olsen | Dental Hygienist | 700 Cedar St, #44, Alexandria, MN 56308-1769 | 2007-01-08 |
| 1558303396 | Mary Michael Olsen | Physical Therapist | 401 E Bogard Rd, Wasilla, AK 99654-7108 | 2006-06-12 |
| Street Address |
3030 NORTH ST SUITE 450 |
| City | BEAUMONT |
| State | TX |
| Zip Code | 77702-1433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538164876 | Lonnie James Bean Jr. | Specialist | 3030 North St, Ste 320, Beaumont, TX 77702-1434 | 2005-06-14 |
| 1699222919 | Beaumont Allergy Associates,pllc | Allergy & Immunology | 3030 North St, Suite 500, Beaumont, TX 77702-1433 | 2016-09-02 |
| 1063757672 | Jerome F. Schrapps, M.d., Pllc | Surgery | 3030 North St, Suite 340, Beaumont, TX 77702-1433 | 2012-12-07 |
| 1912254566 | Amy Quinn | Nurse Practitioner | 3030 North St, Suite 420, Beaumont, TX 77702-1433 | 2012-08-13 |
| 1467709485 | Mei An Tonette O Ty Arias | Internal Medicine | 3030 North St, Ste 450, Beaumont, TX 77702-1433 | 2012-08-08 |
| 1093092561 | Amy L Guidry | Dietitian, Registered | 3030 North St, Beaumont, TX 77702-1433 | 2011-11-10 |
| 1538442835 | Melissia A Berry | Nurse Practitioner | 3030 North St, Suite 450, Beaumont, TX 77702-1433 | 2011-09-22 |
| 1245477124 | Pamela Sue Porter | Nurse Practitioner | 3030 North St, Suite 312, Beaumont, TX 77702-1434 | 2009-01-14 |
| 1467616201 | Dominique J Beaudry Md Pa | Internal Medicine | 3030 North St, Suite 312, Beaumont, TX 77702-1433 | 2008-07-10 |
| 1548454192 | Hollie Sikes | Nurse Practitioner | 3030 North St, Suite 560, Beaumont, TX 77702-1433 | 2007-08-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346871134 | Anne Parker Chen | Psychologist | 2431 Liberty St., Beaumont, TX 77702 | 2020-01-30 |
| 1841715299 | Encounter Home Care, Inc. | Home Health | 990 I H 10 North, 225, Beaumont, TX 77702 | 2017-08-07 |
| 1962860023 | Jennifer Abney Bell | Nurse Practitioner | 3030 North St., Suite 510, Beaumont, TX 77702 | 2016-02-04 |
| 1720407687 | Jennifer Huff | Nurse Practitioner | 2980 Calder Ave, Beaumont, TX 77702 | 2014-04-08 |
| 1669894580 | Julie Christine Makdsi | Psychologist | 80 Interstate 10 N., Suite 205, Beaumont, TX 77702 | 2014-01-11 |
| 1437586682 | Lori Wenner | Registered Nurse | 2410 Harrison Street, Beaumont, TX 77702 | 2013-10-02 |
| 1548503311 | Robert J Grammatico | Emergency Medicine | 2830 Calder Ave., Beaumont, TX 77702 | 2013-03-30 |
| 1396084992 | Courtney Marie Guidry | Physician Assistant | 755 N 11th St Ste P5200, Beaumont, TX 77702 | 2013-02-04 |
| 1043524788 | Swarnalatha Devi Bathina | Dentist | 490 Ih-10, Suite 200, Beaumont, TX 77702 | 2010-08-05 |
| 1376798884 | Rehana Haq Javed | Pathology | Christus Hospital 2830 Calder St., Beaumont, TX 77702 | 2008-11-25 |
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| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427342674 | Sadiq Ali | Internal Medicine | 3440 Fannin St Ste B, Beaumont, TX 77701 | 2011-06-06 |
| 1467683581 | Reeti K. Joshi | Internal Medicine | 3560 Delaware St Ste 301, Beaumont, TX 77706-3060 | 2009-08-06 |
| 1083814057 | Sergio A Leon | Internal Medicine | 3030 North St Ste 450, Beaumont, TX 77702-1434 | 2007-07-19 |
| 1952425779 | Reuben A Isern M.d.p.a. | Internal Medicine | 3350 Dowlen Rd Ste E, Beaumont, TX 77706-7263 | 2007-03-19 |
| 1871153494 | Sadiq Ali, M.d., Pllc | Internal Medicine | 3440 Fannin St Ste B, Beaumont, TX 77701-3842 | 2019-06-17 |
| 1508392317 | Reeti K Joshi, Md Pa | Internal Medicine | 3560 Delaware St, 301, Beaumont, TX 77706-3067 | 2017-05-11 |
| 1467709485 | Mei An Tonette O Ty Arias | Internal Medicine | 3030 North St, Ste 450, Beaumont, TX 77702-1433 | 2012-08-08 |
| 1447459979 | Isern Rheumatology Clinic, Pa | Internal Medicine | 3350 Dowlen Rd Ste E, Beaumont, TX 77706-7263 | 2007-07-14 |
| 1245306067 | Mary L Olsen Md Pa | Internal Medicine | 3070 College Street, Suite 205, Beaumont, TX 77701 | 2006-11-24 |
| 1417053059 | Mary L. Olsen, M.d., P.a. | Internal Medicine | 3070 College St, Suite 205, Beaumont, TX 77701-4691 | 2006-09-14 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.